EP3326643B1 - Factor viii-fc chimeric and hybrid polypeptides, and methods of use thereof - Google Patents

Factor viii-fc chimeric and hybrid polypeptides, and methods of use thereof Download PDF

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Publication number
EP3326643B1
EP3326643B1 EP17194648.6A EP17194648A EP3326643B1 EP 3326643 B1 EP3326643 B1 EP 3326643B1 EP 17194648 A EP17194648 A EP 17194648A EP 3326643 B1 EP3326643 B1 EP 3326643B1
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rfviiifc
factor viii
fviii
dose
sequence
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German (de)
English (en)
French (fr)
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EP3326643A1 (en
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Jennifer A. Dumont
Susan Low
Alan J. Bitonti
Glenn Pierce
Alvin Luk
Haiyan Jiang
Byron Mckinney
Matt Ottmer
Jurg M. Sommer
Karen Nugent
Lian Li
Robert Peters
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Bioverativ Therapeutics Inc
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Bioverativ Therapeutics Inc
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Priority to PL17194648T priority Critical patent/PL3326643T3/pl
Priority to EP21161784.0A priority patent/EP3906937A1/en
Publication of EP3326643A1 publication Critical patent/EP3326643A1/en
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Publication of EP3326643B1 publication Critical patent/EP3326643B1/en
Priority to HRP20211010TT priority patent/HRP20211010T1/hr
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K38/00—Medicinal preparations containing peptides
    • A61K38/16—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof
    • A61K38/17—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans
    • A61K38/36—Blood coagulation or fibrinolysis factors
    • A61K38/37—Factors VIII
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/50—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates
    • A61K47/51—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent
    • A61K47/62—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent the modifying agent being a protein, peptide or polyamino acid
    • A61K47/64—Drug-peptide, drug-protein or drug-polyamino acid conjugates, i.e. the modifying agent being a peptide, protein or polyamino acid which is covalently bonded or complexed to a therapeutically active agent
    • A61K47/643—Albumins, e.g. HSA, BSA, ovalbumin or a Keyhole Limpet Hemocyanin [KHL]
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/50—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates
    • A61K47/51—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent
    • A61K47/68—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent the modifying agent being an antibody, an immunoglobulin or a fragment thereof, e.g. an Fc-fragment
    • A61K47/6801—Drug-antibody or immunoglobulin conjugates defined by the pharmacologically or therapeutically active agent
    • A61K47/6803—Drugs conjugated to an antibody or immunoglobulin, e.g. cisplatin-antibody conjugates
    • A61K47/6811—Drugs conjugated to an antibody or immunoglobulin, e.g. cisplatin-antibody conjugates the drug being a protein or peptide, e.g. transferrin or bleomycin
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P41/00—Drugs used in surgical methods, e.g. surgery adjuvants for preventing adhesion or for vitreum substitution
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P7/00—Drugs for disorders of the blood or the extracellular fluid
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P7/00—Drugs for disorders of the blood or the extracellular fluid
    • A61P7/02—Antithrombotic agents; Anticoagulants; Platelet aggregation inhibitors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P7/00—Drugs for disorders of the blood or the extracellular fluid
    • A61P7/04—Antihaemorrhagics; Procoagulants; Haemostatic agents; Antifibrinolytic agents
    • C—CHEMISTRY; METALLURGY
    • C07—ORGANIC CHEMISTRY
    • C07K—PEPTIDES
    • C07K14/00—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof
    • C07K14/435—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans
    • C07K14/745—Blood coagulation or fibrinolysis factors
    • C07K14/755—Factors VIII, e.g. factor VIII C (AHF), factor VIII Ag (VWF)
    • C—CHEMISTRY; METALLURGY
    • C07—ORGANIC CHEMISTRY
    • C07K—PEPTIDES
    • C07K16/00—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies
    • C07K16/46—Hybrid immunoglobulins
    • C—CHEMISTRY; METALLURGY
    • C07—ORGANIC CHEMISTRY
    • C07K—PEPTIDES
    • C07K2319/00—Fusion polypeptide
    • C07K2319/30—Non-immunoglobulin-derived peptide or protein having an immunoglobulin constant or Fc region, or a fragment thereof, attached thereto
    • Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y02—TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
    • Y02A—TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE
    • Y02A90/00—Technologies having an indirect contribution to adaptation to climate change
    • Y02A90/10—Information and communication technologies [ICT] supporting adaptation to climate change, e.g. for weather forecasting or climate simulation

Definitions

  • the present invention relates generally to the field of therapeutics for hemostatic disorders.
  • Hemophilia A is an X-linked bleeding disorder caused by mutations and/or deletions in the factor VIII (FVIII) gene resulting in a deficiency of FVIII activity (Peyvandi et al. 2006).
  • the disease is characterized by spontaneous hemorrhage and excessive bleeding after trauma. Over time, the repeated bleeding into muscles and joints, which often begins in early childhood, results in hemophilic arthropathy and irreversible joint damage. This damage is progressive and can lead to severely limited mobility of joints, muscle atrophy and chronic pain ( Rodriguez-Merchan, E.C., Semin. Thromb. Hemost. 29:87-96 (2003 ).
  • the A2 domain is necessary for the procoagulant activity of the factor VIII molecule.
  • porcine factor VIII has six-fold greater procoagulant activity than human factor VIII ( Lollar, P., and E. T. Parker, J. Biol. Chem. 266:12481-12486 (1991 )), and that the difference in coagulant activity between human and porcine factor VIII appears to be based on a difference in amino acid sequence between one or more residues in the human and porcine A2 domains ( Lollar, P., et al., J. Biol. Chem. 267:23652-23657 (1992 )).
  • hemophilia A Treatment of hemophilia A is by replacement therapy targeting restoration of FVIII activity to 1 to 5 % of normal levels to prevent spontaneous bleeding ( Mannucci, P.M., et al., N. Engl. J. Med. 344:1773-1779 (2001 )).
  • FVIII products There are plasma-derived and recombinant FVIII products available to treat bleeding episodes on-demand or to prevent bleeding episodes from occurring by treating prophylactically. Based on the half-life of these products treatment regimens require frequent intravenous administration. Such frequent administration is painful and inconvenient.
  • the present disclosure provides methods of administering Factor VIII; methods of administering chimeric polypeptides comprising Factor VIII and hybrids of such chimeric polypeptides; chimeric polypeptides comprising Factor VIII and hybrids of such chimeric polypeptides; polynucleotides encoding such chimeric and hybrid polypeptides; cells comprising such polynucleotides; and methods of producing such chimeric and hybrid polypeptides using such cells.
  • the present disclosure provides a method of administering Factor VIII to a subject in need thereof, comprising administering to the subject a therapeutic dose of a chimeric Factor VIII polypeptide, e.g., a chimeric Factor VIII-Fc polypeptide, at a dosing interval at least about one and one-half times longer than the dosing interval required for an equivalent amount of said Factor VIII without the non-Factor VIII portion (a polypeptide consisting of said Factor VIII portion), e.g., without the Fc portion.
  • a chimeric Factor VIII polypeptide e.g., a chimeric Factor VIII-Fc polypeptide
  • the dosing interval may be at least about one and one-half to six times longer, one and one-half to five times longer, one and one-half to four times longer, one and one-half to three times longer, or one and one-half to two times longer, than the dosing interval required for an equivalent amount of said Factor VIII without the non-Factor VIII portion (a polypeptide consisting of said Factor VIII portion), e.g., the Fc portion.
  • the dosing interval may be at least about one and one-half, two, two and one-half, three, three and one-half, four, four and one-half, five, five and one-half or six times longer than the dosing interval required for an equivalent amount of said Factor VIII without the non-Factor VIII portion (a polypeptide consisting of said Factor VIII portion), e.g., the Fc portion.
  • the dosing interval may be about every five, six, seven, eight, nine, ten, eleven, twelve, thirteen, or fourteen days or longer.
  • the dosing interval may be at least about one and one-half to 5, one and one-half, 2, 3, 4, or 5 days or longer.
  • the present disclosure also provides a method of administering Factor VIII to a subject in need thereof, comprising administering to the subject a therapeutic dose of a chimeric Factor VIII polypeptide, e.g., a chimeric Factor VIII-Fc polypeptide, to obtain an area under the plasma concentration versus time curve (AUC) at least about one and one-quarter times greater than the AUC obtained by an equivalent amount of said Factor VIII without the non-Factor VIII portion (a polypeptide consisting of said Factor VIII portion), e.g., without the Fc portion.
  • a chimeric Factor VIII polypeptide e.g., a chimeric Factor VIII-Fc polypeptide
  • the present disclosure also provides a method of administering Factor VIII to a subject in need thereof, comprising administering to the subject a therapeutic dose of a polypeptide comprising a Factor VIII and an Fc at a dosing interval of about every five, six, seven, eight, nine, ten, eleven, twelve, thirteen, or fourteen days or longer.
  • the methods of the disclosure may be practiced on a subject in need of prophylactic treatment or on-demand treatment.
  • On-demand treatment includes treatment for a bleeding episode, hemarthrosis, muscle bleed, oral bleed, hemorrhage, hemorrhage into muscles, oral hemorrhage, trauma, trauma capitis (head trauma), gastrointestinal bleeding, intracranial hemorrhage, intra-abdominal hemorrhage, intrathoracic hemorrhage, bone fracture, central nervous system bleeding, bleeding in the retropharyngeal space, bleeding in the retroperitoneal space, or bleeding in the illiopsoas sheath.
  • the subject may be in need of surgical prophylaxis, peri-operative management, or treatment for surgery.
  • Such surgeries include, e.g., minor surgery, major surgery, tooth extraction, tonsillectomy, inguinal herniotomy, synovectomy, total knee replacement, craniotomy, osteosynthesis, trauma surgery, intracranial surgery, intra-abdominal surgery, intrathoracic surgery, or joint replacement surgery.
  • the dosing interval of said chimeric polypeptide is about once every 24-36, 24-48, 24-72, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 65, 66, 67, 68, 69, 70, 71, or 72 hours or longer.
  • the therapeutic doses that may be used in the methods of the disclosure are about 10 to about 100 IU/kg, more specifically, about 10-20, 20-30, 30-40, 40-50, 50-60, 60-70, 70-80, 80-90, or 90-100 IU/kg, and more specifically, about 10, 15, 20, 25, 30, 35, 40, 45, 50, 55, 60, 65, 70, 75, 80, 85, 90, 95, or 100 IU/kg.
  • the therapeutic doses that may be used in the methods of the disclosure are about 10 to about 150 IU/kg, more specifically, about 100-110, 110-120, 120-130, 130-140, 140-150 IU/kg, and more specifically, about 110, 115, 120, 125, 130, 135, 140, 145, or 150 IU/kg.
  • the subject in the methods of the disclosure may be a human subject or may be a non-human mammal.
  • Non-human mammals include, e.g., mice, dogs, primates, monkeys, cats, horses, cows, pigs, and other domestic animals and small animals.
  • the determination of dosing interval and AUC may be carried out in a single subject or in a population of subjects.
  • the Factor VIII (or Factor VIII portion of a chimeric polypeptide) may be a human Factor VIII, or a non-human Factor VIII, such as porcine, mouse or canine factor VIII.
  • the Factor VIII (or Factor VIII portion of a chimeric polypeptide) may have a full or partial deletion of the B domain.
  • the Factor VIII (or Factor VIII portion of a chimeric polypeptide) may be at least 90% or 95% identical to a Factor VIII amino acid sequence shown in Table 2 without a signal sequence (amino acids 1 to 1438 of SEQ ID NO:2; amino acids 1 to 2332 of SEQ ID NO:6; amino acids 1 to 740 of SEQ ID NO:8; amino acids 1 to 745 of SEQ ID NO:10; or amino acids 1 to 684 of SEQ ID NO: 12).
  • the Factor VIII (or Factor VIII portion of a chimeric polypeptide) may be identical to a Factor VIII amino acid sequence shown in Table 2 without a signal sequence (amino acids 1 to 1438 of SEQ ID NO:2; amino acids 1 to 2332 of SEQ ID NO:6; amino acids 1 to 740 of SEQ ID NO:8; amino acids 1 to 745 of SEQ ID NO:10; or amino acids 1 to 684 of SEQ ID NO:12).
  • the Factor VIII (or Factor VIII portion of a chimeric polypeptide) may be at least 90% or 95% identical to a Factor VIII amino acid sequence shown in Table 2 with a signal sequence (amino acids -19 to 1438 of SEQ ID NO:2; amino acids -19 to 2332 of SEQ ID NO:6; amino acids -19 to 740 of SEQ ID NO:8; amino acids -19 to 745 of SEQ ID NO:10; or amino acids -20 to 684 of SEQ ID NO:12).
  • a signal sequence amino acids -19 to 1438 of SEQ ID NO:2; amino acids -19 to 2332 of SEQ ID NO:6; amino acids -19 to 740 of SEQ ID NO:8; amino acids -19 to 745 of SEQ ID NO:10; or amino acids -20 to 684 of SEQ ID NO:12).
  • the Factor VIII (or Factor VIII portion of a chimeric polypeptide) may be identical to a Factor VIII amino acid sequence shown in Table 2 with a signal sequence (amino acids -19 to 1438 of SEQ ID NO:2; amino acids -19 to 2332 of SEQ ID NO:6; amino acids -19 to 740 of SEQ ID NO:8; amino acids -19 to 745 of SEQ ID NO:10; or amino acids -20 to 684 of SEQ ID NO:12).
  • a signal sequence amino acids -19 to 1438 of SEQ ID NO:2; amino acids -19 to 2332 of SEQ ID NO:6; amino acids -19 to 740 of SEQ ID NO:8; amino acids -19 to 745 of SEQ ID NO:10; or amino acids -20 to 684 of SEQ ID NO:12).
  • the Fc portion (or Fc portion of a chimeric polypeptide) may be at least 90% or 95% identical to the Fc amino acid sequence shown in Table 2 (amino acids 1439 to 1665 of SEQ ID NO:2; amino acids 2333 to 2559 of SEQ ID NO:6; amino acids 741 to 967 of SEQ ID NO:8; amino acids 746 to 972 of SEQ ID NO:10; amino acids 685 to 924 of SEQ ID NO: 12).
  • the Fc portion (or Fc portion of a chimeric polypeptide) may be identical to the Fc amino acid sequence shown in Table 2 (amino acids 1439 to 1665 of SEQ ID NO:2; amino acids 2333 to 2559 of SEQ ID NO:6; amino acids 741 to 967 of SEQ ID NO:8; amino acids 746 to 972 of SEQ ID NO: 10; amino acids 685 to 924 of SEQ ID NO: 12).
  • the chimeric polypeptide may comprise a sequence at least 90% or 95% identical to the Factor VIII and Fc amino acid sequence shown in Table 2A(i) without a signal sequence (amino acids 1 to 1665 of SEQ ID NO:2) or at least 90% or 95% identical to the Factor VIII and Fc amino acid sequence shown in Table 2A(i) with a signal sequence (amino acids -19 to 1665 of SEQ ID NO:2).
  • the chimeric polypeptide may comprise a sequence identical to the Factor VIII and Fc amino acid sequence shown in Table 2A(i) without a signal sequence (amino acids 1 to 1665 of SEQ ID NO:2) or identical to the Factor VIII and Fc amino acid sequence shown in Table 2A(i) with a signal sequence (amino acids -19 to 1665 of SEQ ID NO:2).
  • the chimeric polypeptide may be in the form of a hybrid comprising a second polypeptide in association with said chimeric polypeptide, wherein said second polypeptide comprises or consists essentially of an Fc.
  • the second polypeptide may comprise or consist essentially of a sequence at least 90% or 95% identical to the amino acid sequence shown in Table 2A(ii) without a signal sequence (amino acids 1 to 227 of SEQ ID NO:4) or at least 90% or 95% identical to the amino acid sequence shown in Table 2A(ii) with a signal sequence (amino acids -20 to 227 of SEQ ID NO:4).
  • the second polypeptide may comprise or consist essentially of a sequence identical to the amino acid sequence shown in Table 2A(ii) without a signal sequence (amino acids 1 to 227 of SEQ ID NO:4) or identical to the amino acid sequence shown in Table 2A(ii) with a signal sequence (amino acids -20 to 227 of SEQ ID NO:4).
  • the chimeric polypeptide or hybrid may be administered as part of a pharmaceutical composition comprising at least one excipient.
  • the disclosure also provides the above-described chimeric and hybrid polypeptides themselves, polynucleotides encoding them, a cultured human embryonic cells comprising the polynucleotides, and methods of producing such chimeric and hybrid polypeptides, and the polypeptides produced by such methods.
  • the present invention is defined in the appended claims.
  • the present disclosure provides a method of treating Hemophilia A with Factor VIII using a longer dosing interval and/or greater AUC than is possible with currently known Factor VIII products.
  • the present disclosure also provides improved Factor VIII chimeric polypeptides, Factor VIII chimeric polynucleotides, and methods of production.
  • hemophilia A Treatment of hemophilia A is by replacement therapy targeting restoration of FVIII activity to 1 to 5 % of normal levels to prevent spontaneous bleeding ( Mannucci, P.M., et al., N. Engl. J. Med. 344:1773-9 (2001 )).
  • FVIII products There are plasma-derived and recombinant FVIII products available to treat bleeding episodes on-demand or to prevent bleeding episodes from occurring by treating prophylactically. Based on the half-life of these products (10-12 hr) ( White G.C., et al., Thromb. Haemost.
  • treatment regimens require frequent intravenous administration, commonly two to three times weekly for prophylaxis and one to three times daily for on-demand treatment ( Manco-Johnson, M.J., et al., N. Engl. J. Med. 357:535-544 (2007 )). Such frequent administration is painful and inconvenient.
  • the present disclosure provides a method of administering Factor VIII to a subject in need thereof, comprising administering to the subject a therapeutic dose of a chimeric Factor VIII polypeptide, e.g., a chimeric Factor VIII-Fc polypeptide, or a hybrid of such a polypeptide at a dosing interval at least about one and one-half times longer than the dosing interval required for an equivalent amount of said Factor VIII without the non-Factor VIII portion (a polypeptide consisting of said Factor VIII portion), e.g., without the Fc portion.
  • a chimeric Factor VIII polypeptide e.g., a chimeric Factor VIII-Fc polypeptide, or a hybrid of such a polypeptide at a dosing interval at least about one and one-half times longer than the dosing interval required for an equivalent amount of said Factor VIII without the non-Factor VIII portion (a polypeptide consisting of said Factor VIII portion), e.g., without the
  • the dosing interval may be at least about one and one-half to six times longer, one and one-half to five times longer, one and one-half to four times longer, one and one-half to three times longer, or one and one-half to two times longer, than the dosing interval required for an equivalent amount of said Factor VIII without the non-Factor VIII portion (a polypeptide consisting of said Factor VIII portion), e.g., without the Fc portion.
  • the dosing interval may be at least about one and one-half, two, two and one-half, three, three and one-half, four, four and one-half, five, five and one-half or six times longer than the dosing interval required for an equivalent amount of said Factor VIII without the non-Factor VIII portion (a polypeptide consisting of said Factor VIII portion), e.g., without the Fc portion.
  • the dosing interval may be about every five, six, seven, eight, nine, ten, eleven, twelve, thirteen, or fourteen days or longer.
  • the dosing interval may be at least about one and one-half to 5, one and one-half, 2, 3, 4, or 5 days or longer.
  • the present disclosure also provides a method of administering Factor VIII to a subject in need thereof, comprising administering to the subject a therapeutic dose of a chimeric Factor VIII polypeptide, e.g., a chimeric Factor VIII-Fc polypeptide, or a hybrid of such a polypeptide to obtain an area under the plasma concentration versus time curve (AUC) at least about one and one-quarter times greater than the AUC obtained by an equivalent amount of said Factor VIII without non-Factor VIII portion (a polypeptide consisting of said Factor VIII portion), e.g., without the Fc portion.
  • a chimeric Factor VIII polypeptide e.g., a chimeric Factor VIII-Fc polypeptide, or a hybrid of such a polypeptide
  • AUC area under the plasma concentration versus time curve
  • the present disclosure also provides a method of administering Factor VIII to a subject in need thereof, comprising administering to the subject a therapeutic dose of a polypeptide comprising a Factor VIII and an Fc or a hybrid of such a polypeptide at a dosing interval of about every five, six, seven, eight, nine, ten, eleven, twelve, thirteen, or fourteen days or longer.
  • the methods of the disclosure may be practiced on a subject in need of prophylactic treatment or on-demand treatment.
  • administering means to give a pharmaceutically acceptable Factor VIII polypeptide of the disclosure to a subject via a pharmaceutically acceptable route.
  • Preferred routes of administration are intravenous, e.g., intravenous injection and intravenous infusion. Additional routes of administration include, e.g., subcutaneous, intramuscular, oral, nasal, and pulmonary administration.
  • Chimeric polypeptides and hybrid proteins may be administered as part of a pharmaceutical composition comprising at least one excipient.
  • AUC rea under the plasma concentration versus time curve
  • AUC is the same as the term of art in pharmacology, and is based upon the rate and extent of absorption if factor VIII following administration. AUC is determined over a specified time period, such as 12, 18, 24, 36, 48, or 72 hours, or for infinity using extrapolation based on the slope of the curve. Unless otherwise specified herein, AUC is determined for infinity. The determination of AUC may be carried out in a single subject, or in a population of subjects for which the average is calculated.
  • B domain of Factor VIII is the same as the B domain known in the art that is defined by internal amino acid sequence identity and sites of proteolytic cleavage by thrombin, e.g., residues Ser741-Arg1648 of full length human factor VIII.
  • the other human factor VIII domains are defined by the following amino acid residues: A1, residues Ala1-Arg372; A2, residues Ser373-Arg740; A3, residues Ser1690-Ile2032; C1, residues Arg2033-Asn2172; C2, residues Ser2173-Tyr2332.
  • the A3-C1-C2 sequence includes residues Ser1690-Tyr2332.
  • the remaining sequence, residues Glu1649-Arg1689, is usually referred to as the factor VIII light chain activation peptide.
  • the locations of the boundaries for all of the domains, including the B domains, for porcine, mouse and canine factor VIII are also known in the art.
  • the B domain of Factor VIII is deleted ("B domain deleted factor VIII" or "BDD FVIII”).
  • BDD FVIII is REFACTO (recombinant BDD FVIII), which has the same sequence as the Factor VIII portion of the sequence in Table 2A(i) (amino acids -19 to 1438 or 1 to 1438 of SEQ ID NO:2).
  • a "B domain deleted factor VIII” may have the full or partial deletions disclosed in U.S. Patent Nos. 6,316,226 , 6,346,513 , 7,041,635 , 5,789,203 , 6,060,447 , 5,595,886 , 6,228,620 , 5,972,885 , 6,048,720 , 5,543,502 , 5,610,278 , 5,171,844 , 5,112,950 , 4,868,112 , and 6,458,563 .
  • a B domain deleted factor VIII sequence of the present invention comprises any one of the deletions disclosed at col. 4, line 4 to col. 5, line 28 and examples 1-5 of U.S. Patent No.
  • a B domain deleted factor VIII of the present invention has a deletion disclosed at col. 2, lines 26-51 and examples 5-8 of U.S. Patent No. 5,789,203 (also US 6,060,447 , US 5,595,886 , and US 6,228,620 ).
  • a B domain deleted factor VIII has a deletion described in col. 1, lines 25 to col. 2, line 40 of US Patent No. 5,972,885 ; col. 6, lines 1-22 and example 1 of U.S. Patent no. 6,048,720 ; col. 2, lines 17-46 of U.S. Patent No. 5,543,502 ; col. 4, line 22 to col. 5, line 36 of U.S.
  • Patent no. 5,171,844 col. 2, lines 55-68, figure 2 , and example 1 of U.S. Patent No. 5,112,950 ; col. 2, line 2 to col. 19, line 21 and table 2 of U.S. Patent No. 4,868,112 ; col. 2, line 1 to col. 3, line 19, col. 3, line 40 to col. 4, line 67, col. 7, line 43 to col. 8, line 26, and col. 11, line 5 to col. 13, line 39 of U.S. Patent no. 7,041,635 ; or col. 4, lines 25-53, of U.S. Patent No. 6,458,563 .
  • a B domain deleted factor VIII has a deletion of most of the B domain, but still contains amino-terminal sequences of the B domain that are essential for in vivo proteolytic processing of the primary translation product into two polypeptide chain, as disclosed in WO 91/09122 .
  • a B domain deleted factor VIII is constructed with a deletion of amino acids 747-1638, i.e., virtually a complete deletion of the B domain. Hoeben R.C., et al. J. Biol. Chem. 265 (13): 7318-7323 (1990 ).
  • a B domain deleted factor VIII may also contain a deletion of amino acids 771-1666 or amino acids 868-1562 of factor VIII. Meulien P., et al.
  • Additional B domain deletions that are part of the invention include, e.g.,: deletion of amino acids 982 through 1562 or 760 through 1639 ( Toole et al., Proc. Natl. Acad. Sci. U.S.A. (1986) 83, 5939-5942 )), 797 through 1562 ( Eaton, et al. Biochemistry (1986) 25:8343-8347 )), 741 through 1646 (Kaufman ( PCT published application No.
  • Chimeric polypeptide means a polypeptide that includes within it at least two polypeptides (or subsequences or peptides) from different sources. Chimeric polypeptides may include, e.g., two, three, four, five, six, seven, or more polypeptides from different sources, such as different genes, different cDNAs, or different animal or other species. Chimeric polypeptides may include, e.g., one or more linkers joining the different subsequences. Thus, the subsequences may be joined directly or they may be joined indirectly, via linkers, or both, within a single chimeric polypeptide.
  • Chimeric polypeptides may include, e.g., additional peptides such as signal sequences and sequences such as 6His and FLAG that aid in protein purification or detection.
  • chimeric polypeptides may have amino acid or peptide additions to the N- and/or C-termini.
  • the chimeric polypeptide disclosed herein may comprise a Factor VIII portion and a non-Factor VIII portion.
  • Exemplary non-Factor VIII portions include, e.g., Fc, XTEN, and albumin.
  • Exemplary chimeric polypeptides disclosed herein include, e.g., chimeric Factor VIII-Fc polypeptides, chimeric Factor VIII-XTEN polypeptides, and chimeric Factor VIII-albumin polypeptides.
  • Exemplary chimeric Factor VIII-Fc polypeptides include, e.g., SEQ ID NOs:2, 6, 8, 10, and 12 (Table 2), with or without their signal sequences and the chimeric Fc polypeptide of SEQ ID NO:4 (Table 2).
  • the chimeric polypeptide may comprise a sequence at least 90% or 95% identical to the Factor VIII and Fc amino acid sequence shown in Table 2A(i) without a signal sequence (amino acids 1 to 1665 of SEQ ID NO:2) or at least 90% or 95% identical to the Factor VIII and Fc amino acid sequence shown in Table 2A(i) with a signal sequence (amino acids -19 to 1665 of SEQ ID NO:2).
  • the chimeric polypeptide may comprise a sequence identical to the Factor VIII and Fc amino acid sequence shown in Table 2A(i) without a signal sequence (amino acids 1 to 1665 of SEQ ID NO:2) or identical to the Factor VIII and Fc amino acid sequence shown in Table 2A(i) with a signal sequence (amino acids -19 to 1665 of SEQ ID NO:2).
  • exemplary chimeric polypeptides include Factor VIII fused to one or more XTEN polypeptides. Schellenburger et al., Nat. Biotech. 27:1186-90 (2009 ).
  • Factor VIII can be fused to either the N-terminal end of the XTEN polypeptide or to the C-terminal end of the XTEN polypeptide, provided the Factor VIII component of the Factor VIII-XTEN fusion protein can be processed by an protease to yield a processed Factor VIII containing polypeptide.
  • a protease site may be included between the XTEN portion and the Factor VIII portion to allow such processing.
  • XTEN polypeptides include, e.g., those disclosed in WO 2009/023270 , WO 2010/091122 , WO 2007/103515 , US 2010/0189682 , and US 2009/0092582 .
  • exemplary chimeric polypeptides also include Factor VIII fused to one or more albumin polypeptides.
  • the albumin is human albumin.
  • Factor VIII can be fused to either the N-terminal end of the albumin or to the C-terminal end of the albumin, provided the Factor VIII component of the Factor VIII-albumin fusion protein can be processed by an enzymatically-active proprotein convertase to yield a processed Factor VIII-containing polypeptide.
  • albumin e.g., fragments thereof, that may be used in the present disclosure are known. e.g., U.S. Patent No. 7,592,010 ; U.S. Patent No. 6,686,179 ; and Schulte, Thrombosis Res. 124 Suppl. 2:S6-S8 (2009 ).
  • a chimeric polypeptide comprising a Factor VIII portion has an increased half-life (t1/2) over a polypeptide consisting of the same Factor VIII portion without the non Factor VIII portion.
  • a chimeric Factor VIII polypeptide with an increased t1/2 may be referred to herein as a long-acting Factor VIII.
  • Long-acting chimeric Factor VIII polypeptides include, e.g., Factor VIII fused to Fc (including, e.g., chimeric Factor VIII polypeptides in the form of a hybrid such as a FVIIIFc monomer dimer hybrid; see Example 1, Fig. 1 , and Table 2A; and US Patent Nos. 7,404,956 and 7,348,004 ), Factor VIII fused to XTEN, and Factor VIII fused to albumin.
  • Culture means to incubate cells under in vitro conditions that allow for cell growth or division or to maintain cells in a living state.
  • Cultured cells means cells that are propagated in vitro.
  • Factor VIII means functional factor VIII polypeptide in its normal role in coagulation, unless otherwise specified.
  • Factor VIII includes variant polypeptides that are functional.
  • Preferred factor VIII proteins are the human, porcine, canine, and murine factor VIII proteins.
  • the full length polypeptide and polynucleotide sequences are known, as are many functional fragments, mutants and modified versions. Examples of human factor VIII sequences are shown as subsequences in SEQ ID NOs:2, 6, 8, 10, and 12 (Table 2).
  • Factor VIII polypeptides include, e.g., full-length factor VIII, full-length factor VIII minus Met at the N-terminus, mature factor VIII (minus the signal sequence), mature factor VIII with an additional Met at the N-terminus, and/or factor VIII with a full or partial deletion of the B domain.
  • Preferred Factor VIII variants include B domain deletions, whether partial or full deletions.
  • factor VIII variants A great many functional factor VIII variants are known, as is discussed above and below.
  • hundreds of nonfunctional mutations in factor VIII have been identified in hemophilia patients, and it has been determined that the effect of these mutations on factor VIII function is due more to where they lie within the 3-dimensional structure of factor VIII than on the nature of the substitution ( Cutler et al., Hum. Mutat. 19:274-8 (2002 )).
  • comparisons between factor VIII from humans and other species has identified conserved residues that are likely to be required for function ( Cameron et al., Thromb. Haemost. 79:317-22 (1998 ); US 6,251,632 ).
  • the human factor VIII gene was isolated and expressed in mammalian cells ( Toole, J. J., et al., Nature 312:342-347 (1984 ); Gitschier, J., et al., Nature 312:326-330 (1984 ); Wood, W. I., et al., Nature 312:330-337 (1984 ); Vehar, G. A., et al., Nature 312:337-342 (1984 ); WO 87/04187 ; WO 88/08035 ; WO 88/03558 ; U.S. Pat. No. 4,757,006 ), and the amino acid sequence was deduced from cDNA. Capon et al., U.S. Pat. No.
  • 4,965,199 disclose a recombinant DNA method for producing factor VIII in mammalian host cells and purification of human factor VIII.
  • Human factor VIII expression in CHO (Chinese hamster ovary) cells and BHKC (baby hamster kidney cells) has been reported.
  • Human factor VIII has been modified to delete part or all of the B domain ( U.S. Pat. Nos. 4,994,371 and 4,868,112 ), and replacement of the human factor VIII B domain with the human factor V B domain has been performed ( U.S. Pat. No. 5,004,803 ).
  • the cDNA sequence encoding human factor VIII and predicted amino acid sequence are shown in SEQ ID NOs:1 and 2, respectively, of US Application Publ. No. 2005/0100990 .
  • a number of functional factor VIII molecules, including B-domain deletions, are disclosed in the following patents US 6,316,226 and US 6,346,513 , both assigned to Baxter; US 7,041,635 assigned to In2Gen; US 5,789,203 , US 6,060,447 , US 5,595,886 , and US 6,228,620 assigned to Chiron; US 5,972,885 and US 6,048,720 assigned to Biovitrum, US 5,543,502 and US 5,610,278 assigned to Novo Nordisk; US 5,171,844 assigned to Immuno Ag; US 5,112,950 assigned to Transgene S.A.; US 4,868,112 assigned to Genetics Institute.
  • porcine factor VIII sequence is published, ( Toole, J. J., et al., Proc. Natl. Acad. Sci. USA 83:5939-5942 (1986 )), and the complete porcine cDNA sequence obtained from PCR amplification of factor VIII sequences from a pig spleen cDNA library has been reported ( Healey, J. F., et al., Blood 88:4209-4214 (1996 )).
  • Hybrid human/porcine factor VIII having substitutions of all domains, all subunits, and specific amino acid sequences were disclosed in U.S. Pat. No. 5,364,771 by Lollar and Runge , and in WO 93/20093 .
  • the Factor VIII (or Factor VIII portion of a chimeric polypeptide) may be at least 90% or 95% identical to a Factor VIII amino acid sequence shown in Table 2 without a signal sequence (amino acids 1 to 1438 of SEQ ID NO:2; amino acids 1 to 2332 of SEQ ID NO:6; amino acids 1 to 740 of SEQ ID NO:8; amino acids 1 to 745 of SEQ ID NO:10; or amino acids 1 to 684 of SEQ ID NO: 12).
  • the Factor VIII (or Factor VIII portion of a chimeric polypeptide) may be identical to a Factor VIII amino acid sequence shown in Table 2 without a signal sequence (amino acids 1 to 1438 of SEQ ID NO:2; amino acids 1 to 2332 of SEQ ID NO:6; amino acids 1 to 740 of SEQ ID NO:8; amino acids 1 to 745 of SEQ ID NO:10; or amino acids 1 to 684 of SEQ ID NO:12).
  • the Factor VIII (or Factor VIII portion of a chimeric polypeptide) may be at least 90% or 95% identical to a Factor VIII amino acid sequence shown in Table 2 with a signal sequence (amino acids -19 to 1438 of SEQ ID NO:2; amino acids -19 to 2332 of SEQ ID NO:6; amino acids -19 to 740 of SEQ ID NO:8; amino acids -19 to 745 of SEQ ID NO:10; or amino acids -20 to 684 of SEQ ID NO:12).
  • a signal sequence amino acids -19 to 1438 of SEQ ID NO:2; amino acids -19 to 2332 of SEQ ID NO:6; amino acids -19 to 740 of SEQ ID NO:8; amino acids -19 to 745 of SEQ ID NO:10; or amino acids -20 to 684 of SEQ ID NO:12).
  • the Factor VIII (or Factor VIII portion of a chimeric polypeptide) may be identical to a Factor VIII amino acid sequence shown in Table 2 with a signal sequence (amino acids -19 to 1438 of SEQ ID NO:2; amino acids -19 to 2332 of SEQ ID NO:6; amino acids -19 to 740 of SEQ ID NO:8; amino acids -19 to 745 of SEQ ID NO:10; or amino acids -20 to 684 of SEQ ID NO:12).
  • a signal sequence amino acids -19 to 1438 of SEQ ID NO:2; amino acids -19 to 2332 of SEQ ID NO:6; amino acids -19 to 740 of SEQ ID NO:8; amino acids -19 to 745 of SEQ ID NO:10; or amino acids -20 to 684 of SEQ ID NO:12).
  • Equivalent amount means the same amount of Factor VIII activity as expressed in International Units, which is independent of molecular weight of the polypeptide in question.
  • One International Unit (IU) of factor VIII activity corresponds approximately to the quantity of factor VIII in one milliliter of normal human plasma.
  • assays are available for measuring Factor VIII activity, including the European Pharmacopoeia chromogenic substrate assay and a one stage clotting assay.
  • Fc neonatal Fc receptor (FcRn) binding partners, unless otherwise specified.
  • An FcRn binding partner is any molecule that can be specifically bound by the FcRn receptor with consequent active transport by the FcRn receptor of the FcRn binding partner.
  • Fc includes any variants of IgG Fc that are functional.
  • the region of the Fc portion of IgG that binds to the FcRn receptor has been described based on X-ray crystallography ( Burffle et al. 1994, Nature 372:379 ).
  • the major contact area of the Fc with the FcRn is near the junction of the CH2 and CH3 domains.
  • Fc-FcRn contacts are all within a single Ig heavy chain.
  • the FcRn binding partners include, e.g., whole IgG, the Fc fragment of IgG, and other fragments of IgG that include the complete binding region of FcRn.
  • the major contact sites include amino acid residues 248, 250-257, 272, 285, 288, 290-291, 308-311, and 314 of the CH2 domain and amino acid residues 385-387, 428, and 433-436 of the CH3 domain.
  • References made to amino acid numbering of immunoglobulins or immunoglobulin fragments, or regions, are all based on Kabat et al. 1991, Sequences of Proteins of Immunological Interest, U. S.
  • the FcRn receptor has been isolated from several mammalian species including humans. The sequences of the human FcRn, rat FcRn, and mouse FcRn are known ( Story et al. 1994, J. Exp. Med. 180: 2377 ).
  • An Fc may comprise the CH2 and CH3 domains of an immunoglobulin with or without the hinge region of the immunoglobulin. Exemplary Fc variants are provided in WO 2004/101740 and WO 2006/074199 .
  • Fc (or Fc portion of a chimeric polypeptide) may contain one or more mutations, and combinations of mutations.
  • Fc (or Fc portion of a chimeric polypeptide) may contain mutations conferring increased half-life such as M252Y, S254T, T256E, and combinations thereof, as disclosed in Oganesyan et al., Mol. Immunol. 46:1750 (2009 ); H433K, N434F, and combinations thereof, as disclosed in Vaccaro et al., Nat. Biotechnol. 23:1283 (2005 ); the mutants disclosed at pages 1-2, paragraph [0012], and Examples 9 and 10 of US 2009/0264627 A1 ; and the mutants disclosed at page 2, paragraphs [0014] to [0021] of US 20090163699 A1 .
  • Fc (or Fc portion of a chimeric polypeptide) may also include, e.g., the following mutations:
  • the Fc region of IgG can be modified according to well recognized procedures such as site directed mutagenesis and the like to yield modified IgG or Fc fragments or portions thereof that will be bound by FcRn.
  • modifications include, e.g., modifications remote from the FcRn contact sites as well as modifications within the contact sites that preserve or even enhance binding to the FcRn.
  • Fcy1 human IgG1 Fc
  • P238A S239A, K246A, K248A, D249A, M252A, T256A, E258A, T260A, D265A, S267A, H268A, E269A, D270A, E272A, L274A, N276A, Y278A, D280A, V282A, E283A, H285A, N286A, T289A, K290A, R292A, E293A, E294A, Q295A, Y296F, N297A, S298A, Y300F, R301A, V303A, V305A, T307A, L309A, Q311A, D312A, N315A, K317A, E318A, K320A, K32
  • alanine may be substituted for the wildtype amino acids at the positions specified above. Mutations may be introduced singly into Fc giving rise to more than one hundred FcRn binding partners distinct from native Fc. Additionally, combinations of two, three, or more of these individual mutations may be introduced together, giving rise to hundreds more FcRn binding partners. Certain of these mutations may confer new functionality upon the FcRn binding partner. For example, one embodiment incorporates N297A, removing a highly conserved N-glycosylation site.
  • the effect of this mutation is to reduce immunogenicity, thereby enhancing circulating half-life of the FcRn binding partner, and to render the FcRn binding partner incapable of binding to FcyRI, FcyRIIA, FcyRIIB, and FcyRIIIA, without compromising affinity for FcRn ( Routledge et al. 1995, Transplantation 60:847 ; Friend et al. 1999, Transplantation 68:1632 ; Shields et al. 1995, J. Biol. Chem. 276:6591 ). Additionally, at least three human Fc gamma receptors appear to recognize a binding site on IgG within the lower hinge region, generally amino acids 234-237.
  • Another example of new functionality and potential decreased immunogenicity may arise from mutations of this region, as for example by replacing amino acids 233-236 of human IgG1 "ELLG” to the corresponding sequence from IgG2 "PVA” (with one amino acid deletion). It has been shown that FcyRI, FcyRII, and FcyRIII which mediate various effector functions will not bind to IgG1 when such mutations have been introduced ( Ward and Ghetie 1995, Therapeutic Immunology 2:77 ; and Armour et al.1999, Eur. J. Immunol. 29:2613 ). As a further example of new functionality arising from mutations described above affinity for FcRn may be increased beyond that of wild type in some instances.
  • This increased affinity may reflect an increased "on” rate, a decreased “off” rate or both an increased “on” rate and a decreased “off” rate.
  • Mutations believed to impart an increased affinity for FcRn include, e.g., T256A, T307A, E380A, and N434A ( Shields et al. 2001, J. Biol. Chem. 276:6591 ).
  • the Fc (or Fc portion of a chimeric polypeptide) may be at least 90% or 95% identical to the Fc amino acid sequence shown in Table 2 (amino acids 1439 to 1665 of SEQ ID NO:2; amino acids 2333 to 2559 of SEQ ID NO:6; amino acids 741 to 967 of SEQ ID NO:8; amino acids 746 to 972 of SEQ ID NO:10; amino acids 685 to 924 of SEQ ID NO:12).
  • the Fc (or Fc portion of a chimeric polypeptide) may be identical to the Fc amino acid sequence shown in Table 2 (amino acids 1439 to 1665 of SEQ ID NO:2; amino acids 2333 to 2559 of SEQ ID NO:6; amino acids 741 to 967 of SEQ ID NO:8; amino acids 746 to 972 of SEQ ID NO:10; amino acids 685 to 924 of SEQ ID NO: 12).
  • Hybrid polypeptides and proteins as used herein, means a combination of a chimeric polypeptide with a second polypeptide.
  • the chimeric polypeptide and the second polypeptide in a hybrid may be associated with each other via protein-protein interactions, such as charge-charge or hydrophobic interactions.
  • the chimeric polypeptide and the second polypeptide in a hybrid may be associated with each other via disulfide or other covalent bond(s).
  • Hybrids are described in WO 2004/101740 and WO 2006/074199 . See also US Patent Nos. 7,404,956 and 7,348,004 .
  • the second polypeptide may be a second copy of the same chimeric polypeptide or it may be a non-identical chimeric polypeptide. See, e.g., Figure 1 , Example 1, and Table 2.
  • the second polypeptide is a polypeptide comprising an Fc.
  • the chimeric polypeptide is a chimeric Factor VIII-Fc polypeptide and the second polypeptide consists essentially of Fc, e.g, the hybrid polypeptide of Example 1, which is a rFVIIIFc recombinant fusion protein consisting of a single molecule of recombinant B-domain deleted human FVIII (BDD-rFVIII) fused to the dimeric Fc domain of the human IgG1, with no intervening linker sequence.
  • This hybrid polypeptide is referred to herein as FVIIIFc monomeric Fc fusion protein, FVIIIFc monomer hybrid, monomeric FVIIIIFc hybrid, and FVIIIFc monomer-dimer. See Example 1, Fig. 1 , and Table 2A. The Examples provide preclinical and clinical data for this hybrid polypeptide.
  • the second polypeptide in a hybrid may comprise or consist essentially of a sequence at least 90% or 95% identical to the amino acid sequence shown in Table 2A(ii) without a signal sequence (amino acids 1 to 227 of SEQ ID NO:4) or at least 90% or 95% identical to the amino acid sequence shown in Table 2A(ii) with a signal sequence (amino acids -20 to 227 of SEQ ID NO:4).
  • the second polypeptide may comprise or consist essentially of a sequence identical to the amino acid sequence shown in Table 2A(ii) without a signal sequence (amino acids 1 to 227 of SEQ ID NO:4) or identical to the amino acid sequence shown in Table 2A(ii) with a signal sequence (amino acids -20 to 227 of SEQ ID NO:4).
  • Figure 1 is a schematic showing the structure of a B domain deleted factor VIII-Fc chimeric polypeptide, and its association with a second polypeptide that is an Fc polypeptide.
  • the coding sequence of human recombinant B-domain deleted FVIII was obtained by reverse transcription-polymerase chain reaction (RT-PCR) from human liver poly A RNA (Clontech) using FVIII-specific primers.
  • the FVIII sequence includes the native signal sequence for FVIII.
  • the B-domain deletion was from serine 743 (S743; 2287 bp) to glutamine 1638 (Q1638; 4969 bp) for a total deletion of 2682 bp.
  • the coding sequence for human recombinant Fc was obtained by RT-PCR from a human leukocyte cDNA library (Clontech) using Fc specific primers. Primers were designed such that the B-domain deleted FVIII sequence was fused directly to the N-terminus of the Fc sequence with no intervening linker.
  • the FVIIIFc DNA sequence was cloned into the mammalian dual expression vector pBUDCE4.1 (Invitrogen) under control of the CMV promoter.
  • a second identical Fc sequence including the mouse Igk signal sequence was obtained by RT-PCR and cloned downstream of the second promoter, EF1 ⁇ , in the expression vector pBUDCE4.1.
  • the rFVIIIFc expression vector was transfected into human embryonic kidney 293 cells (HEK293H; Invitrogen) using Lipofectamine 2000 transfection reagent (Invitrogen). Stable clonal cell lines were generated by selection with Zeocin (Invitrogen). One clonal cell line, 3C4-22 was used to generate FVIIIFc for characterization in vivo. Recombinant FVIIIFc was produced and purified (McCue et al. 2009) at Biogen Idec (Cambridge, MA). The transfection strategy described above was expected to yield three products, i.e., monomeric rFVIIIFc hybrids, dimeric rFVIIIFc hybrids and dimeric Fc.
  • the conditioned medium contained Fc and monomeric rFVIIIFc. It is possible that the size of dimeric rFVIIIFc was too great and prevented efficient secretion from the cell. This result was beneficial since it rendered the purification of the monomer less complicated than if all three proteins had been present.
  • the material used in these studies had a specific activity of approximately 9000 IU/mg.
  • Dosing interval means the amount of time that elapses between multiple doses being administered to a subject. The comparison of dosing interval may be carried out in a single subject or in a population of subjects and then the average obtained in the population may be calculated.
  • the dosing interval when administering a chimeric Factor VIII polypeptide may be at least about one and one-half times longer than the dosing interval required for an equivalent amount of said Factor VIII without the non-Factor VIII portion, e.g., without the Fc portion (a polypeptide consisting of said Factor VIII).
  • the dosing interval may be at least about one and one-half to six times longer, one and one-half to five times longer, one and one-half to four times longer, one and one-half to three times longer, or one and one-half to two times longer, than the dosing interval required for an equivalent amount of said Factor VIII without the non-Factor VIII portion, e.g., without the Fc portion (a polypeptide consisting of said Factor VIII).
  • the dosing interval may be at least about one and one-half, two, two and one-half, three, three and one-half, four, four and one-half, five, five and one-half or six times longer than the dosing interval required for an equivalent amount of said Factor VIII without the non-Factor VIII portion, e.g., without the Fc portion (a polypeptide consisting of said Factor VIII).
  • the dosing interval may be about every five, six, seven, eight, nine, ten, eleven, twelve, thirteen, or fourteen days or longer.
  • the dosing interval may be at least about one and one-half to 5, one and one-half, 2, 3, 4, or 5 days or longer.
  • the dosing interval of said chimeric polypeptide or hybrid is about once every 24-36, 24-48, 24-72, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 65, 66, 67, 68, 69, 70, 71, or 72 hours or longer.
  • the effective dose is 25-65 IU/kg (25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 62, 64, or 65 IU/kg) and the dosing interval is once every 3-5, 3-6, 3-7, 3, 4, 5, 6, 7, or 8 or more days, or three times per week, or no more than three times per week.
  • the effective dose is 65 IU/kg and the dosing interval is once weekly, or once every 6-7 days.
  • Long-acting Factor VIII is a Factor VIII having an increased half-life (also referred to herein as t1/2, t1/2 beta, elimination half-life and HL) over a reference Factor VIII.
  • the increased half-life of a long-acting Factor VIII may be due to fusion to one or more non-Factor VIII polypeptides such as, e.g., Fc, XTEN or albumin.
  • the increased half-life may be due to one or more modification, such as, e.g., pegylation.
  • Exemplary long-acting Factor VIII polypeptides include, e.g., chimeric Factor VIII polypeptides comprising Fc, chimeric Factor VIII polypeptides comprising XTEN and chimeric Factor VIII polypeptides comprising albumin. Additional exemplary long-acting Factor VIII polypeptides include, e.g., pegylated Factor VIII.
  • the "reference" polypeptide in the case of a long-acting chimeric Factor VIII polypeptide, is a polypeptide consisting essentially of the Factor VIII portion of the chimeric polypeptide, e.g., the same Factor VIII portion without the Fc portion, without the XTEN portion, or without the albumin portion.
  • the reference polypeptide in the case of a modified Factor VIII is the same Factor VIII without the modification, e.g., a Factor VIII without the pegylation.
  • the long-acting Factor VIII has one or more of the following properties when administered to a subject:
  • the long-acting Factor VIII has one or more of the following properties when administered to a patient population:
  • On-demand treatment means treatment that is intended to take place over a short course of time and is in response to an existing condition, such as a bleeding episode, or a perceived need such as planned surgery.
  • Conditions that may require on-demand treatment include, e.g., a bleeding episode, hemarthrosis, muscle bleed, oral bleed, hemorrhage, hemorrhage into muscles, oral hemorrhage, trauma, trauma capitis, gastrointestinal bleeding, intracranial hemorrhage, intra-abdominal hemorrhage, intrathoracic hemorrhage, bone fracture, central nervous system bleeding, bleeding in the retropharyngeal space, bleeding in the retroperitoneal space, or bleeding in the illiopsoas sheath.
  • the subject may be in need of surgical prophylaxis, peri-operative management, or treatment for surgery.
  • Such surgeries include, e.g., minor surgery, major surgery, tooth extraction, tonsillectomy, inguinal herniotomy, synovectomy, total knee replacement, craniotomy, osteosynthesis, trauma surgery, intracranial surgery, intra-abdominal surgery, intrathoracic surgery, or joint replacement surgery.
  • on-demand treatment resolves greater than 80% (greater than 80%, greater than 81%, greater than 82%, greater than 83%, greater than 84%, greater than 85%, greater than 86%, greater than 87%, greater than 88%, greater than 89%, greater than 90%, greater than 91%, greater than 92%, greater than 93%, greater than 94%, greater than 95%, greater than 96%, greater than 97%, greater than 98%, greater than 99%, or 100%) or 80-100%, 80-90%, 85-90%, 90-100%, 90-95%, or 95-100% of bleeds (e.g., spontaneous bleeds) in a single dose.
  • bleeds e.g., spontaneous bleeds
  • greater than 80% greater than 81%, greater than 82%, greater than 83%, greater than 84%, greater than 85%, greater than 86%, greater than 87%, greater than 88%, greater than 89%, greater than 90%, greater than 91%, greater than 92%, greater than 93%, greater than 94%, greater than 95%, greater than 96%, greater than 97%, greater than 98%, or 100%
  • 80-100%, 80-90%, 85-90%, 90-100%, 90-95%, or 95-100% of bleeding episodes are rated excellent or good by physicians after on-demand treatment.
  • greater than 5% (greater than 6%, greater than 7%, greater than 8%, greater than 9%, greater than 10%, greater than 11%, greater than 12%, greater than 13%, greater than 14%, greater than 15%, greater than 16%, greater than 17%, greater than 18%, greater than 19%, greater than 20%), or 5-20%, 5-15%, 5-10%, 10-20%, or 10-15% of bleeding episodes are rated as fair by physicians after on-demand treatment.
  • Polypeptide “peptide” and “protein” are used interchangeably and refer to a polymeric compound comprised of covalently linked amino acid residues.
  • Polynucleotide and “nucleic acid” are used interchangeably and refer to a polymeric compound comprised of covalently linked nucleotide residues.
  • Polynucleotides may be DNA, cDNA, RNA, single stranded, or double stranded, vectors, plasmids, phage, or viruses.
  • Polynucleotides include, e.g., those in Table 1, which encode the polypeptides of Table 2 (see Table 1).
  • Polynucleotides also include, e.g., fragments of the polynucleotides of Table 1, e.g., those that encode fragments of the polypeptides of Table 2, such as the Factor VIII, Fc, signal sequence, 6His and other fragments of the polypeptides of Table 2.
  • Prophylactic treatment means administering a Factor VIII polypeptide in multiple doses to a subject over a course of time to increase the level of Factor VIII activity in a subject's plasma.
  • the increased level is sufficient to decrease the incidence of spontaneous bleeding or to prevent bleeding, e.g., in the event of an unforeseen injury.
  • the plasma protein level in the subject does not fall below the baseline level for that subject, or below the level of Factor VIII that characterizes severe hemophilia ( ⁇ 1 IU/dl [1%]).
  • the prophylaxis regimen is "tailored" to the individual patient, preferably by determining PK data for each patient and administering Factor VIII of the disclosure at a dosing interval that maintains a trough level of 1-3% FVIII activity. Adjustments may be made when a subject experiences unacceptable bleeding episodes defined as ⁇ 2 spontaneous bleeding episodes over a rolling two-month period. In this case, adjustment will target trough levels of 3-5%.
  • prophylactic treatment results in prevention and control of bleeding, sustained control of bleeding, sustained protection from bleeding, and/or sustained benefit.
  • Prophylaxis e.g., sustained protection can be demonstrated by an increased AUC to last measured time point (AUC-LAST) and reduced clearance, resulting in increased terminal t1/2 compared to short acting FVIII.
  • AUC-LAST AUC to last measured time point
  • prophylaxis is demonstrated by better Cmax, better Tmax, and/or greater mean residence time versus short-acting FVIII.
  • prophylaxis results in no spontaneous bleeding episodes within about 24, 36, 48, 72, or 96 hours (e.g., 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 65, 66, 67, 68, 69, 70, 71, 72, 73, 74, 75, 76, 77, 78, 79, 80, 81, 82, 83, 84, 85, 96, 87, 88, 89, 90, 91, 92, 93, 94, 95, or 96 hours, preferably within 72 hours), after injection (e.g., the last injection).
  • injection e.g., the last injection
  • prophylaxis results in greater than 30% (e.g., greater than 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 65, 66, 67, 68, 69, 70, 71, 72, 73, 74, 75, 76, 77, 78, 79, 80, 81, 82, 83, 84, 85, 96, 87, 88, 89, or 90%, preferably greater than 50%), mean reduction in annualized bleeding episodes with once weekly dosing (e.g., at 65 IU/kg).
  • mean reduction in annualized bleeding episodes with once weekly dosing e.g., at 65 IU/kg.
  • Subject means a human or a non-human mammal.
  • Non-human mammals include, e.g., mice, dogs, primates, monkeys, cats, horses, cows, pigs, and other domestic animals and small animals.
  • Therapeutic dose means a dose that achieves a therapeutic goal, as described herein.
  • the calculation of the required dosage of factor VIII is based upon the empirical finding that, on average, 1 IU of factor VIII per kg body weight raises the plasma factor VIII activity by approximately 2 IU/dL.
  • the therapeutic doses that may be used in the methods of the disclosure are about 10-100 IU/kg, more specifically, 10-20, 20-30, 30-40, 40-50, 50-60, 60-70, 70-80, 80-90, or 90-100 IU/kg, and more specifically, 10, 15, 20, 25, 30, 35, 40, 45, 50, 55, 60, 65, 70, 75, 80, 85, 90, 95, or 100 IU/kg.
  • Additional therapeutic doses that may be used in the methods of the disclosure are about 10 to about 150 IU/kg, more specifically, about 100-110, 110-120, 120-130, 130-140, 140-150 IU/kg, and more specifically, about 110, 115, 120, 125, 130, 135, 140, 145, or 150 IU/kg.
  • Variant refers to a polynucleotide or polypeptide differing from the original polynucleotide or polypeptide, but retaining essential properties thereof, e.g., factor VIII coagulant activity or Fc (FcRn binding) activity. Generally, variants are overall closely similar, and, in many regions, identical to the original polynucleotide or polypeptide. Variants include, e.g., polypeptide and polynucleotide fragments, deletions, insertions, and modified versions of original polypeptides.
  • Variant polynucleotides may comprise, or alternatively consist of, a nucleotide sequence which is at least 85%, 90%, 95%, 96%, 97%, 98% or 99% identical to, for example, the nucleotide coding sequence in SEQ ID NO:1, 3, 5, 7, 9, or 11 (the factor VIII portion, the Fc portion, individually or together) or the complementary strand thereto, the nucleotide coding sequence of known mutant and recombinant factor VIII or Fc such as those disclosed in the publications and patents cited herein or the complementary strand thereto, a nucleotide sequence encoding the polypeptide of SEQ ID NO:2, 4, 6, 8, 10, or 12 (the factor VIII portion, the Fc portion, individually or together), and/or polynucleotide fragments of any of these nucleic acid molecules (e.g., those fragments described herein).
  • Polynucleotides which hybridize to these nucleic acid molecules under stringent hybridization conditions or lower stringency conditions are also
  • Variant polypeptides may comprise, or alternatively consist of, an amino acid sequence which is at least 85%, 90%, 95%, 96%, 97%, 98%, 99% identical to, for example, the polypeptide sequence shown in SEQ ID NO:2, 4, 6, 8, 10, or 12 (the factor VIII portion, the Fc portion, individually or together), and/or polypeptide fragments of any of these polypeptides (e.g., those fragments described herein).
  • nucleic acid having a nucleotide sequence at least, for example, 95% "identical" to a reference nucleotide sequence it is intended that the nucleotide sequence of the nucleic acid is identical to the reference sequence except that the nucleotide sequence may include up to five point mutations per each 100 nucleotides of the reference nucleotide sequence.
  • nucleic acid having a nucleotide sequence at least 95% identical to a reference nucleotide sequence up to 5% of the nucleotides in the reference sequence may be deleted or substituted with another nucleotide, or a number of nucleotides up to 5% of the total nucleotides in the reference sequence may be inserted into the reference sequence.
  • the query sequence may be, for example, the entire sequence shown in SEQ ID NO:1 or 3, the ORF (open reading frame), or any fragment specified as described herein.
  • nucleic acid molecule or polypeptide is at least 85%, 90%, 95%, 96%, 97%, 98% or 99% identical to a nucleotide sequence or polypeptide of the present disclosure can be determined conventionally using known computer programs.
  • a preferred method for determining the best overall match between a query sequence (reference or original sequence) and a subject sequence can be determined using the FASTDB computer program based on the algorithm of Brutlag et al. (Comp. App. Biosci. (1990) 6:237-245 ).
  • sequence alignment the query and subject sequences are both DNA sequences.
  • An RNA sequence can be compared by converting U's to T's.
  • the result of said global sequence alignment is in percent identity.
  • the percent identity is corrected by calculating the number of bases of the query sequence that are 5' and 3' of the subject sequence, which are not matched/aligned, as a percent of the total bases of the query sequence. Whether a nucleotide is matched/aligned is determined by results of the FASTDB sequence alignment.
  • This percentage is then subtracted from the percent identity, calculated by the above FASTDB program using the specified parameters, to arrive at a final percent identity score.
  • This corrected score is what is used for the purposes of the present invention. Only bases outside the 5' and 3' bases of the subject sequence, as displayed by the FASTDB alignment, which are not matched/aligned with the query sequence, are calculated for the purposes of manually adjusting the percent identity score.
  • a 90 base subject sequence is aligned to a 100 base query sequence to determine percent identity.
  • the deletions occur at the 5' end of the subject sequence and therefore, the FASTDB alignment does not show a matched/alignment of the first 10 bases at 5' end.
  • the 10 unpaired bases represent 10% of the sequence (number of bases at the 5' and 3' ends not matched/total number of bases in the query sequence) so 10% is subtracted from the percent identity score calculated by the FASTDB program. If the remaining 90 bases were perfectly matched the final percent identity would be 90%.
  • a 90 base subject sequence is compared with a 100 base query sequence.
  • deletions are internal deletions so that there are no bases on the 5' or 3' of the subject sequence which are not matched/aligned with the query.
  • percent identity calculated by FASTDB is not manually corrected.
  • bases 5' and 3' of the subject sequence which are not matched/aligned with the query sequence are manually corrected for. No other manual corrections are to made for the purposes of the present invention.
  • a polypeptide having an amino acid sequence at least, for example, 95% "identical" to a query amino acid sequence of the present invention it is intended that the amino acid sequence of the subject polypeptide is identical to the query sequence except that the subject polypeptide sequence may include up to five amino acid alterations per each 100 amino acids of the query amino acid sequence.
  • the amino acid sequence of the subject polypeptide may include up to five amino acid alterations per each 100 amino acids of the query amino acid sequence.
  • up to 5% of the amino acid residues in the subject sequence may be inserted, deleted, (indels) or substituted with another amino acid.
  • These alterations of the reference sequence may occur at the amino or carboxy terminal positions of the reference amino acid sequence or anywhere between those terminal positions, interspersed either individually among residues in the reference sequence or in one or more contiguous groups within the reference sequence.
  • any particular polypeptide is at least 85%, 90%, 95%, 96%, 97%, 98% or 99% identical to, for instance, the amino acid sequences of SEQ ID NO:2 (the factor VIII portion, the Fc portion, individually or together) or 4, or a known factor VIII or Fc polypeptide sequence, can be determined conventionally using known computer programs.
  • a preferred method for determining the best overall match between a query sequence (reference or original sequence) and a subject sequence also referred to as a global sequence alignment, can be determined using the FASTDB computer program based on the algorithm of Brutlag et al., Comp. App. Biosci. 6:237-245(1990 ).
  • the query and subject sequences are either both nucleotide sequences or both amino acid sequences.
  • the result of said global sequence alignment is in percent identity.
  • the percent identity is corrected by calculating the number of residues of the query sequence that are N- and C-terminal of the subject sequence, which are not matched/aligned with a corresponding subject residue, as a percent of the total bases of the query sequence. Whether a residue is matched/aligned is determined by results of the FASTDB sequence alignment.
  • This percentage is then subtracted from the percent identity, calculated by the above FASTDB program using the specified parameters, to arrive at a final percent identity score.
  • This final percent identity score is what is used for the purposes of the present invention. Only residues to the N- and C-termini of the subject sequence, which are not matched/aligned with the query sequence, are considered for the purposes of manually adjusting the percent identity score. That is, only query residue positions outside the farthest N- and C-terminal residues of the subject sequence.
  • a 90 amino acid residue subject sequence is aligned with a 100 residue query sequence to determine percent identity.
  • the deletion occurs at the N-terminus of the subject sequence and therefore, the FASTDB alignment does not show a matching/alignment of the first 10 residues at the N-terminus.
  • the 10 unpaired residues represent 10% of the sequence (number of residues at the N- and C- termini not matched/total number of residues in the query sequence) so 10% is subtracted from the percent identity score calculated by the FASTDB program. If the remaining 90 residues were perfectly matched the final percent identity would be 90%.
  • a 90 residue subject sequence is compared with a 100 residue query sequence.
  • deletions are internal deletions so there are no residues at the N- or C-termini of the subject sequence which are not matched/aligned with the query.
  • percent identity calculated by FASTDB is not manually corrected.
  • residue positions outside the N- and C-terminal ends of the subject sequence, as displayed in the FASTDB alignment, which are not matched/aligned with the query sequence are manually corrected for. No other manual corrections are to made for the purposes of the present invention.
  • the polynucleotide variants may contain alterations in the coding regions, noncoding regions, or both. Especially preferred are polynucleotide variants containing alterations which produce silent substitutions, additions, or deletions, but do not alter the properties or activities of the encoded polypeptide. Nucleotide variants produced by silent substitutions due to the degeneracy of the genetic code are preferred. Moreover, variants in which 5-10, 1-5, or 1-2 amino acids are substituted, deleted, or added in any combination are also preferred. Polynucleotide variants can be produced for a variety of reasons, e.g., to optimize codon expression for a particular host (change codons in the human mRNA to those preferred by a bacterial host such as E. coli).
  • Naturally occurring variants are called "allelic variants," and refer to one of several alternate forms of a gene occupying a given locus on a chromosome of an organism ( Genes II, Lewin, B., ed., John Wiley & Sons, New York (1985 )). These allelic variants can vary at either the polynucleotide and/or polypeptide level and are included in the present invention. Alternatively, non-naturally occurring variants may be produced by mutagenesis techniques or by direct synthesis.
  • variants may be generated to improve or alter the characteristics of the polypeptides. For instance, one or more amino acids can be deleted from the N-terminus or C-terminus of the secreted protein without substantial loss of biological function.
  • the authors of Ron et al., J. Biol. Chem. 268: 2984-2988 (1993 ) reported variant KGF proteins having heparin binding activity even after deleting 3, 8, or 27 amino-terminal amino acid residues.
  • Interferon gamma exhibited up to ten times higher activity after deleting 8-10 amino acid residues from the carboxy terminus of this protein. ( Dobeli et al., J. Biotechnology 7:199-216 (1988 )).
  • polypeptide variants include, e.g., modified polypeptides.
  • Modifications include, e.g., acetylation, acylation, ADP-ribosylation, amidation, covalent attachment of flavin, covalent attachment of a heme moiety, covalent attachment of a nucleotide or nucleotide derivative, covalent attachment of a lipid or lipid derivative, covalent attachment of phosphotidylinositol, cross-linking, cyclization, disulfide bond formation, demethylation, formation of covalent cross-links, formation of cysteine, formation of pyroglutamate, formylation, gamma-carboxylation, glycosylation, GPI anchor formation, hydroxylation, iodination, methylation, myristoylation, oxidation, pegylation ( Mei et al., Blood 116:270-79 (2010 )), proteolytic processing, phosphorylation, prenylation,
  • Factor VIII is modified, e.g., pegylated, at any convenient location.
  • Factor VIII is pegylated at a surface exposed amino acid of Factor VIII, preferably a surface exposed cysteine, which may be an engineered cysteine.
  • modified Factor VIII e.g., pegylated Factor VIII, is a long-acting Factor VIII.
  • Vss Volume of distribution at steady state
  • rFVIIIFc B-domain-deleted factor VIII-Fc
  • the WBCT remained below 20 min, the time consistent with FVIII:C > 1%, through approximately 96 hr, compared to 48 hr for dogs treated with ReFacto®.
  • fusion of FVIII to Fc produced a molecule with an increased plasma half-life and the ability to provide prolonged protection from bleeding.
  • rFVIIIFc is a heterodimeric hybrid protein comprised of B-domain-deleted FVIII fused recombinantly to the Fc domain of human immunoglobulin G1 (IgG1) (Fig. 1 , SEQ ID NO:2; Table 2A) (This protein is also referred to herein as FVIIIFc monomeric Fc fusion protein, FVIIIFc monomer hybrid, monomeric FVIIIIFc hybrid, and FVIIIFc monomer-dimer.).
  • IgG1 human immunoglobulin G1
  • the Fc enables binding to the neonatal Fc receptor (FcRn), which is responsible for protection of IgG from degradation and confers on IgG the three week half-life observed in humans ( Ghetie V, and Ward ES., Annu. Rev. Immunol. 2000;18:739-766 ; Roopenian DC, and Akilesh S., Nature Rev. Immunol. 2007;7:715-725 ).
  • FcRn neonatal Fc receptor
  • the Fc domain of IgG1 has been fused to growth factors, cytokines, enzymes and ligand-binding regions of receptors ( Ashkanazi A, et al., Int. Rev. Immunol. 1993:10:219-27 ; Chamow SM, and Ashkanazi A, Trends Biotechnol. 1996:14:52-60 ; Fisher et al., N. Engl. J. Med. 1996:334(26):1697-702 ).
  • Several of these have become important therapeutic molecules (e.g. etanercept, alefacept, abatacept). In these fusion proteins, two effector molecules are connected to two Fc molecules.
  • rFVIIIFc has been constructed as a monomeric Fc fusion protein (one copy of a polypeptide consisting of the sequence in Table 2A(i) (SEQ ID NO:2) with or without the signal sequence and one copy of a polypeptide consisting of the sequence in Table 2A(ii) (SEQ ID NO:4) with or without the signal sequence), i.e., with only one copy of the effector molecule (see Figure 1 ), and the studies presented herein compare the pharmacodynamics and pharmacokinetics of this novel protein to rFVIII in mouse and dog models of hemophilia A.
  • the signal sequence is cleavage during secretion.
  • This protein construct is referred to herein as FVIIIFc monomeric Fc fusion protein, FVIIIFc monomer hybrid, monomeric FVIIIIFc hybrid, and FVIIIFc monomer-dimer. See Example 1, Fig. 1 , Table 2A; and US Patent Nos. 7,404,956 and 7,348,004 for the structure and production of this protein.
  • the coding sequence of human recombinant B-domain deleted FVIII was obtained by reverse transcription-polymerase chain reaction (RT-PCR) from human liver poly A RNA (Clontech) using FVIII-specific primers.
  • the FVIII sequence includes the native signal sequence for FVIII.
  • the B-domain deletion was from serine 743 (S743; 2287 bp) to glutamine 1638 (Q1638; 4969 bp) for a total deletion of 2682 bp See Example 1, Fig. 1 , Table 2A; and US Patent Nos. 7,404,956 and 7,348,004 for the structure and production of this protein.
  • the coding sequence for human recombinant Fc was obtained by RT-PCR from a human leukocyte cDNA library (Clontech) using Fc specific primers. Primers were designed such that the B-domain deleted FVIII sequence was fused directly to the N-terminus of the Fc sequence with no intervening linker.
  • the FVIIIFc DNA sequence was cloned into the mammalian dual expression vector pBUDCE4.1 (Invitrogen) under control of the CMV promoter.
  • a second identical Fc sequence including the mouse Igk signal sequence was obtained by RT-PCR and cloned downstream of the second promoter, EF1 ⁇ , in the expression vector pBUDCE4.1.
  • the rFVIIIFc expression vector was transfected into human embryonic kidney 293 cells (HEK293H; Invitrogen) using Lipofectamine 2000 transfection reagent (Invitrogen). Stable clonal cell lines were generated by selection with Zeocin (Invitrogen). One clonal cell line, 3C4-22 was used to generate FVIIIFc for characterization in vivo. Recombinant FVIIIFc was produced and purified ( McCue JT, et al., J. Chromatogr. A 2009;7824-7830 ) at Biogen Idec (Cambridge, MA).
  • Recombinant B-domain deleted FVIII (ReFacto®) was purchased from Novis Pharmaceuticals and was prepared according to manufacturer's instructions. ReFacto® (recombinant B-domain deleted FVIII) has the same amino acid sequence as amino acids 1 to 1438 of SEQ ID NO:2.
  • the hemophilia A mice are FVIII exon 16 knockouts on a 129 x B6 background that were obtained from Dr. Kazazian at the University of Pennsylvania ( Bi L, et al., Nat. Genet. 1995;10(1): 119-121 ) and bred at Syntonix. These mice exhibit prolonged whole blood clotting times (>60 min), and are thus a good model of severe hemophilia A.
  • Hemophilia A dogs were from the in-bred colony maintained at the Francis Owen Blood Research Laboratory at the University of North Carolina, Chapel Hill ( Graham, JB, et al., J. Exp. Med. 1949;90:97-111 ). These dogs have a severe hemophilic phenotype comparable to the severe form of the human disease ( Graham, JB, et al., J. Exp. Med. 1949;90:97-111 ; Lozier, JN, et al., Proc. Natl. Acad. Sci. 2002;99:12991-12996 ).
  • hemophilia A mice were administered a single intravenous dose of 50 IU/kg rFVIIIFc, ReFacto® or Advate® (4 mice per time point). Blood was collected by cardiac puncture in one tenth volume 3.2% sodium citrate at 0.25, 8, 24, 48 and 72 hr after dosing. Plasma was prepared and stored at -80°C until analysis for FVIII activity using a FVIII-specific chromogenic activity assay.
  • rFVIIIFc In a single dose PK/PD study of rFVIIIFc, two hemophilia A dogs from the Chapel Hill colony were administered a single intravenous dose of 125 IU/kg and blood samples were collected pre-dose and after dosing at selected time points for WBCT, activated partial thromboplastin time (aPTT), FVIIIFc plasma concentration, hematology and serum chemistry.
  • Time points for WBCT included pre-dose, 5 and 30 min and 1, 2, 4, 8, 24, 32, 48, 72, 96, 144, and 168 hr after dosing.
  • Blood collections for clotting activity (aPTT) and FVIIIFc plasma concentration included the time points listed above for WBCT as well as 15 min and 3, 6, 12 hours after dosing.
  • the WBCT procedure in hemophilia A dogs was slightly different than that in the hemophilia A mice.
  • one mL of blood was collected at various time points and 0.5 mL was distributed into two siliconized glass tubes which were subsequently placed into a 28°C water bath. Beginning at one minute, one tube was tilted every 30 sec, the second left undisturbed. When a clot formed in the tilted tube, the second tube was then tilted every 30 sec until a clot formed. The time for a fully gelled clot in the second tube was recorded as the WBCT.
  • Plasma samples were tested for FVIII activity by an automated chromogenic method using a Sysmex CA1500 instrument and reagents were from Siemans Healthcare Diagnostics (Dallas, TX, kit #B4238-40).
  • Activity of rFVIIIFc was determined using a standard curve created using the 7th International Standard Factor FVIII Concentrate (NIBSC code 99/678) spiked into human FVIII-depleted plasma (Stago USA) at concentrations ranging from 1.5 - 0.016 IU/mL.
  • a FVIII antibody specific to the A1 domain (Green Mountain Antibodies: GMA-8002) was coated on 96 well plates and incubated for 1 hr at 37°C.
  • the coated plates were blocked with Tris-buffered saline containing Tween 20, CaCl 2 and bovine serum albumin for 1 hr at room temperature and then standards, controls and samples that were prepared in normal dog plasma, were diluted 1:10 and then added to the plates and incubated for 1 hour at 37°C.
  • the plates were washed and then donkey (F(ab)' 2 ) anti-human Fc-HRP (Jackson: 709-036-098) was added and incubated for 1 hr at 37°C.
  • TMB BioFx supersensitive substrate: TMBS-0100-01
  • An anti-FVIII antibody specific to the A1 domain on the heavy chain (Green Mountain Antibodies: GMA-8002) was coated on 96 well plates and incubated for 2 hr at room temperature. The coated plates were blocked for 1 hr at 37 °C and after washing, the standards, controls and samples were prepared in normal dog plasma then diluted 1:10 were added to the plates and incubated for 2 hr at room temperature. The plates were washed then treated with the detection antibody, a pre-diluted anti-FVIII horse radish peroxidase conjugate (Affinity Biologicals: F8C-EIA-D), and incubated at room temperature for 1 hr.
  • TMB BioFx supersensitive substrate: TMBS-0100-01
  • the concentration of fibrinogen in plasma was measured at Esoterix (Research Triangle Park, NC) using a kit that contains HemosILTM PT-Fibrinogen-HS reagent (Instrumentation Laboratory, Lexington, MA, Catalog #0008468210) and an ACL 7000 Coagulation Analyzer (Beckman Coulter), according to the manufacturer's instructions.
  • Platelets were counted in EDTA anti-coagulated whole blood by automated methods using the Vet-ABC-Diff Hematology Analyzer programmed with a species specific smart card (SCIL Animal Care Co., Gurnee, IL).
  • SCIL Animal Care Co. Gurnee, IL
  • PK parameters included the maximum concentration in plasma (C max ), area under the plasma concentration versus time curve (AUC), elimination half-life (t 1/2 ), volume of distribution (Vss), and clearance (Cl).
  • rFVIIIFc is a recombinant fusion of human B-domain deleted FVIII with Fc from human IgG1, with no intervening linker sequence (rFVIIIFc; Figure 1 ).
  • rFVIIIFc had a specific activity of approximately 9000 IU/mg as determined using a chromogenic activity assay.
  • Recombinant B-domain deleted FVIII (ReFacto®) has a reported specific activity of 9110 - 13700 IU/mg. Conversion of specific activity into IU/nmol to take into account the size difference between FVIIIFc and ReFacto® (216 kDa and 170 kDa respectively), indicates that the two proteins have approximately equivalent specific activities (1970 IU/nmol for rFVIIIFc and 1521 - 2287 IU/nmol for ReFacto®). Thus the FVIII activity of rFVIIIFc is not affected by fusion of the C-terminus of human FVIII to the N-terminus of human Fc.
  • the chromogenic activity of rFVIIIFc, ReFacto® or Advate® was studied in the FVIII-deficient mice after a single intravenous dose of 50 IU/kg. Blood was collected pre-dose and after dosing at 8, 24, 48, and 72 hr. The activity was measured using a FVIII-specific chromogenic activity assay and is shown in Figure 3 . The pharmacokinetic parameters are reported in Table 4. The circulating half-life for rFVIIIFc was approximately 1.6 to 2 fold longer (11.1 hr) compared to Advate® (7 hr) and ReFacto® (5 hr).
  • the Cmax was 1.6 ⁇ 0.36 IU/mL for rFVIIIFc compared to 0.47 ⁇ 0.30 IU/mL for Advate® and 0.67 ⁇ 0.44 IU/mL for ReFacto®.
  • the systemic exposure of rFVIIIFc was markedly greater for rFVIIIFc (22.6 hr ⁇ IU/mL) compared to ReFacto® (6.94 hr ⁇ IU/mL) and Advate® (3.90 hr ⁇ IU/mL) and clearance for rFIIIFc was notably lower (2.09 mL/hr/kg) compared to both ReFacto® (7.2 mL/hr/kg) and Advate® (12.8 hr/mL/kg) in the hemophilia A mice.
  • PD pharmacodynamics
  • PK pharmacokinetics
  • rFVIIIFc The pharmacodynamics (PD) and pharmacokinetics (PK) of rFVIIIFc were studied in the Chapel Hill colony of hemophilia A dogs.
  • the range of WBCT in normal dogs is 8-12 min.
  • the WBCT remained below 20 min, the time consistent with FVIII:C >1%, through approximately 96 hr with the exception of one dog that had WBCT ⁇ 20 min through 72 hr.
  • aPTT was also immediately corrected to normal (Table 6).
  • the concentration of rFVIIIFc in plasma was measured using a specific ELISA which was designed to detect both the FVIII and Fc portions of the molecule.
  • the plasma concentration versus time curves are shown in Figure 5 .
  • PK analysis of the data showed that the t 1/2 was 15.7 ⁇ 1.7 hr (Table 5).
  • the activity data were converted from IU/mL to ng/mL using the specific activity for rFVIIIFc, there was a good correlation with the ELISA data, thereby demonstrating that the protein that was measured by ELISA was fully active.
  • platelets and fibrinogen were measured. After dosing with either rFVIIIFc or ReFacto®, platelet numbers and plasma fibrinogen concentration did not change from pre-dose values (data not shown).
  • Recombinant FVIIIFc was produced in human embryonic kidney 293 (HEK 293) cells from a stably transfected cell line and was purified from cell culture medium. Production in a human cell line represents a significant change in manufacturing compared to currently marketed rFVIII products which are produced in either Chinese Hamster Ovary cells or Baby Hamster Kidney cells. The rationale for this change was that it was expected that the human cells were best equipped to perform the necessary post-translational modifications for the FVIII portion of this molecule.
  • hemophilia A Treatment of hemophilia A is on-demand at the time of a bleeding episode or by prophylaxis for the prevention of bleeding. Although on-demand treatment is still frequently used, there is a trend toward prophylaxis and the prevention of joint damage ( Blanchette P, et al., Haemophilia 2004: 10;679-683 , Manco-Johnson, MJ, et al., N. Engl. J. Med. 2007;357:535-544 ).
  • Pegylation represents an approach to reduce clearance, however, the effect of the modification in vivo is currently unknown.
  • the outcome of direct pegylation of FVIII on in vivo is currently unknown, whereas FVIII formulated with pegylated liposomes has been studied clinically and showed a modest to no effect on bleeding periods ( Spira J, et al., Blood 2006;108:3668-3673 , Spira J, et al., Thromb. Haemost. 2008 Sep;100(3):429-34 ).
  • the present approach to extend the half-life of FVIII was to recombinantly fuse FVIII to the Fc domain of IgG1.
  • Fc binds to the naturally occurring receptor, FcRn, of which the normal function is protection of IgG from degradation.
  • the results described herein represent the initial pharmacokinetic and efficacy characterization of rFVIIIFc compared to a rFVIII product in hemophilia A mice and hemophilia A dogs.
  • the half-life of rFVIIIFc was approximately twice that of rFVIII when measured by FVIII activity or ELISA (dogs only).
  • the objective of the study was to determine the pharmacokinetics and pharmacodynamics of rFVIIIFc and BDD-rFVIII (Xyntha®) in cynomolgus monkeys after a single intravenous dose.
  • rFVIIIFc Biogen Idec
  • Biogen Idec supplied as a frozen liquid at a concentration of 1.2 mg/mL, and 9882 IU/mL.
  • the specific activity is 8235 IU/mg. Storage was at - 70°C. It was diluted prior to injection.
  • NIRC Study # 8733-0903 Cynomolgus monkeys from the New Iberia Research Center (NIRC) colony were used, and the study (NIRC Study # 8733-0903) was conducted under an approved NIRC IACUC protocol (APS 2008-8733-058) at NIRC in New Iberia, LA.
  • rFVIIIFc was administered intravenously at 125 IU/kg to each of six monkeys (three males, three females).
  • Xyntha BDD-rFVIII
  • Group 1 animals (n 3) received Xyntha on Day 0 and rFVIIIFc on Day 3
  • the additional day between doses for group 2 was to ensure that the rFVIIIFc had sufficient time to decrease below projected baseline levels.
  • Blood was collected for plasma in one-tenth volume 3.2 % sodium citrate from each animal predose and after dosing at 0.25, 4, 12, 24, 36, 48 and 72 hr for measurement of rFVIIIFc or Xyntha by ELISA and a FVIII-specific chromogenic activity assay.
  • This Enzyme Linked ImmunoSorbent Assay is designed to quantify rFVIIIFc in monkey plasma.
  • goat anti-human IgG-(H+L) antibody (monkey absorbed) from Bethyl Laboratories (Cat#A80-319A) is diluted in Coating Buffer and immobilized onto a 96-well microtiter sample plate. The plate is aspirated, and all un-adsorbed sites are blocked with the addition of Blocking Buffer (3% BSA/1xTris) for approximately 2 hours at 37°C.
  • Plasma samples are diluted 1:20 with High Calcium Sample Dilution Buffer (3% Non-Fat Dry Milk/TBST with 30 mM CaCl2) and dispensed onto the sample plate. Plates are incubated for approximately 2 hours at 37°C. The plate is subsequently washed and mouse anti-B domain-deleted ( ⁇ .BDDA1) Factor VIII (A1 domain) antibody from Green Mountain Antibodies (Cat#GMA-8002) is added to the plate and incubated for approximately 1 hour at 37°C. After washing the plate, HRP-conjugated goat anti-mouse IgG2a antibody from Southern Biotech (Cat#1080-05) is added to the plate and incubated for approximately 30 minutes at room temperature.
  • High Calcium Sample Dilution Buffer 3% Non-Fat Dry Milk/TBST with 30 mM CaCl2
  • tetramethylbenzidine (TMB) peroxidase substrate solution is added and incubated for approximately 30 minutes at room temperature.
  • the reaction is stopped by addition of a non-acidic Stop Solution.
  • Color develops in proportion to the amount of rFVIIIFc in the sample. Plates are read on an absorbance plate reader using a single detection wavelength, 650 nm. rFVIIIFc concentrations are determined on a standard curve obtained by plotting optical density (OD) versus concentration using a four-parameter logistic curve-fitting program.
  • the calibration curve range of this method is 0.400 ng/mL - 51.2 ng/mL in 5% monkey plasma (8.00 ng/mL - 1024 ng/mL in 100% monkey plasma).
  • One calibrator outside the qualified range of the assay at 0.200 ng/mL in 5% monkey plasma may be included to serve as an anchor point to facilitate curve-fitting.
  • the anchor point is removed or retained based on the best fit of the curve (i.e., the highest number of standards read within defined accuracy, %RE).
  • This Enzyme Linked ImmunoSorbent Assay is designed to quantify FVIII in monkey plasma.
  • mouse ⁇ BDDA1 FVIII antibody from Green Mountain Antibodies Cat# GMA-8002
  • Coating Buffer Coating Buffer
  • the plate is aspirated, and all un-adsorbed sites are blocked with the addition of Blocking Buffer (3% BST/1xTris) for approximately 1 hour at 37°C.
  • Plasma samples are diluted 1:20 with High Calcium Sample Dilution Buffer (Blocking Buffer with 100 mM CaCl2) and dispensed onto the sample plate. Plates are incubated for approximately 2 hours at 37°C.
  • a Detecting Antibody from the Affinity Biologicals Kit an HRP labeled polyclonal antibody (Cat#F8C-EIA-D), is further diluted in TBS/0.05% Tween 20, and added to the plate and incubated for approximately 1 hour at room temperature.
  • the plate is washed again and a tetramethylbenzidine (TMB) peroxidase substrate solution is added and incubated for approximately 30 minutes at room temperature.
  • TMB tetramethylbenzidine
  • Color develops in proportion to the amount of FVIIIFc in the sample. Plates are read on an absorbance plate reader using a single detection wavelength, 450 nm.
  • FVIII concentrations are determined on a standard curve obtained by plotting optical density (OD) versus concentration using a four-parameter logistic curve-fitting program.
  • the calibration curve range of this method is 0.625 ng/mL - 20 ng/mL in 5% monkey plasma (12.5 ng/mL - 400 ng/mL in 100% monkey plasma).
  • Two calibrators outside the qualified range of the assay at 0.313 and 0.156 ng/mL in 5% monkey plasma may be included to serve as anchor points to facilitate curve-fitting.
  • the anchor points can be removed or retained based on the best fit of the curve (i.e., the highest number of standards read within defined accuracy, %RE).
  • FVIII activity in cynomolgus monkey plasma samples was estimated based on administered dose, and then diluted to approximately 0.25 - 1 IU/ml in human FVIII-depleted plasma (Diagnostica Stago).
  • Samples were analyzed in a Sysmex CA1500 (Siemens Diagnostic Healthcare) using a FVIII chromogenic kit (Siemens).
  • FVIIIa Activated Factor VIII
  • FXa then accelerates the conversion of Factor X (FX) to Factor Xa (FXa) in the presence of activated Factor IX (FIXa), phospholipids (PL) and calcium ions.
  • the FXa activity is assessed by hydrolysis of a p-nitroanilide substrate specific to FXa.
  • the initial rate of release of p-nitroaniline (pNA) measured at 405 nm is proportional to the FXa activity, and thus to the FVIII activity in the sample.
  • the limit of quantitation of FVIII activity due to rFVIIIFc in this assay is ⁇ 0.3 IU/ml.
  • the assay can measure total FVIII activity down to a lower limit of approximately 0.06 IU/ml with an accuracy of ⁇ 20%.
  • the calculated activity of the pre-dose sample for individual animals was subtracted from the value at each time point to generate the PD curves (FVIII activity vs. time).
  • a standard curve was generated from the NIBSC 7th International Standard FVIII concentrate diluted to 1 1U/ml in human FVIII-deficient plasma. Standard curves were diluted serially in the Sysmex instrument to yield concentrations of 0.15, 0.1, 0.05, 0.025, 0.0053 and 0.0026 IU/ml. Since the instrument dilutes all samples 1:10 internally, the FVIII standard concentrations correspond to plasma concentrations of 1.5 - 0.026 IU/ml, which is the range of FVIII activities that can be measured.
  • the concentration time profiles were evaluated using the non-compartmental analysis module in the WinNonlin software program (Version 5.2, Pharsight Corporation, Mountain View, CA).
  • rFVIIIFc concentration of rFVIIIFc in monkey plasma was measured using a sandwich ELISA format that measured both the FVIII and Fc portions of the molecule and the data are reported in Table 7. All predose samples were below the limit of quantitation.
  • Figure 7 illustrates the group mean rFVIIIFc and Xyntha plasma concentrations over time and individual plasma concentration versus time curves are shown in Figure 8 .
  • a summary of the PK parameters for rFVIIIFc and Xyntha are shown in Tables 9 and 10, respectively.
  • the mean t1/2 for rFVIIIFc was 11.9 ⁇ 1.7 hr (range 9.3 to 14.1 hr) and for Xyntha, the mean elimination t1/2 was 12.7 ⁇ 4.4 hr (range 9.2 to 19.9 hr).
  • FVIII activity was measured using a FVIII-specific chromogenic activity assay and the data are reported in Table 8. Pre-dose activity due to endogenous FVIII was subtracted from all samples. A graph of the mean group data is shown in Figure 9 and the individual plasma concentration vs. time curves are shown in Figure 10 . A summary of the PK parameters are reported for rFVIIIFc and Xyntha in Tables 9 and 10, respectively. The mean elimination t1/2 was 16.1 ⁇ 6.9 hr (range 11.6 to 29.4 hr) for rFVIIIFc and 12.5 ⁇ 1.7 hr (range 10.4 to 14.3 hr) for Xyntha.
  • the elimination half-lives were similar for rFVIIIFc and Xyntha after a single intravenous dose of 125 IU/kg. whether the test article was measured by ELISA or a chromogenic activity assay.
  • severe defined as ⁇ 1 IU/dL [1%] endogenous factor VIII [FVIII]
  • each subject will undergo an inhibitor assessment at 14-days (336 hours) post-injection of rFVIIIFc. Dosing of the next subject (for the first three subjects only) will occur once the inhibitor testing is completed. After the 3rd subject completed the 14 day inhibitor assessment, the remaining three subjects at 25 IU/kg and the six subjects at 65 IU/kg will begin enrollment sequentially at least 1 day apart within each dose group.
  • rFVIIIFc One week after the last subject receives the 25 IU/kg dose of the rFVIIIFc, approximately 6 unique subjects will be recruited for the 65 IU/kg cohort. Each subject in the 65 IU/kg cohort will receive a single 65 IU/kg dose of Advate® followed by a 4-day (96 hours) PK profiling then crossover and receive a 65 IU/kg single, open-label dose of rFVIIIFc for a 10-day (240 hours) profiling. If a bleeding episode occurs before the first injection of rFVIIIFc in any cohort, subject's pre-study FVIII product should be used for treatment and an interval of at least 4 days must then pass before receiving the first injection of rFVIIIFc for the PK profile.
  • FVIII is first activated with ⁇ -thrombin for 5 min, then mixed with FIXa in the presence of Ca2+, and synthetic phospholipid vesicles (25% phosphatidylserine (PS)/75% phosphatidylcholine (PC)) or platelets.
  • FVIIIa and FIXa interact in the presence of a phospholipid surface and calcium ions to form an active Xase complex that mediates the conversion of FX into FXa through proteolytic processing.
  • FXa cleaves a FXa-specific chromogenic or fluorogenic substrate.
  • the cleaved substrate is chromogenic and therefore the amount of cleaved substrate in a solution is indicative of the amount of FXa generated. This is quantitated by measuring the absorbance of the solution at 405 nm.
  • Thrombin-activated FVIII proteins were incubated with FIXa and phospholipids in the presence of calcium, then added to different concentrations of FX in the presence of a FX-specific substrate and the rates of FXa generation determined ( Figure 11 ).
  • FVIIIFc had about a 50% increase in systemic exposure (AUC INF ), about 50% reduction in clearance (Cl), and about 50-70% increase in elimination half-life and MRT compared to ADVATE (full length rFVIII).
  • AUC INF systemic exposure
  • Cl reduction in clearance
  • FVIIIFc showed increased C168, TBLP1, TBLP3, and TBLP5 values compared to ADVATE.
  • rFVIIIFc B-domain-deleted factor VIII-Fc fusion protein
  • the pharmacokinetics (PK) of rFVIIIFc were compared to rFVIII in hemophilia A mice. We found that the terminal half-life was twice as long for rFVIIIFc compared to rFVIII.
  • the PK were evaluated in FcRn knockout and human FcRn transgenic mice.
  • ROTEM rotation thromboelastometry
  • rFVIIIFc showed significantly improved CT at 72 and 96 hr post dose, and CFT and ⁇ -angle were also improved at 96 hrs compared to both XYNTHA® (FVIII) and ADVATE® (FVIII), consistent with prolonged PK of rFVIIIFc. Therefore construction of an Fc fusion of FVIII produces a molecule with a defined mechanism of action that has an increased half-life and the potential to provide prolonged protection from bleeding.
  • This Example presents final analysis results for FVIII activity from 16 patients treated with 25 and 65 IU/kg FVIII products. See Examples 3 and 5.
  • rFVIIIFc is a recombinant fusion protein comprised of a single molecule of recombinant B-domain deleted human FVIII (BDD-rFVIII) fused to the dimeric Fc domain of the human IgG1, with no intervening linker sequence.
  • This protein construct is also referred to herein as rFVIIIFc heterodimeric hybrid protein, FVIIIFc monomeric Fc fusion protein, FVIIIFc monomer hybrid, monomeric FVIIIIFc hybrid, and FVIIIFc monomer-dimer. See Example 1, Fig. 1 , and Table 2A.
  • the primary objective of this study was to assess the safety and tolerability of single administration of two doses of rFVIIIFc (25 and 65 IU/kg) in previously treated patients (PTPs) aged 12 and above with severe hemophilia A.
  • the secondary objectives were to determine the pharmacokinetics (PK) parameters determined by pharmacodynamic (PD) activity of FVIII over time after a single administration of 25 or 65 IU/kg of rFVIIIFc compared to Advate in one-stage clotting and chromogenic assays.
  • PK pharmacokinetics
  • PD pharmacodynamic
  • Blood samples were collected for FVIII activity PK evaluations at the screening visit (within 28 days prior to dosing Advate); on Day 0 (injection of Advate) pre-injection and at 10 and 30 minutes and 1, 3, 6, and 9 hours post-injection; on Day 1 at 24 hours post-injection of Advate; on Day 2 at 48 hours post-injection of Advate; on Day 3 at 72 hours post-injection of Advate; and on Day 4 at 96 hours post-injection of high dose of Advate (Cohort B only).
  • Blood samples were collected for FVIII activity PK evaluations on the day of rFVIIIFc injection just prior to the administration of rFVIIIFc, at 10 and 30 minutes and 1, 3, 6, and 9 hours post-injection of rFVIIIFc; on Day 1 at 24 hours post-injection of rFVIIIFc; on Days 2 through 5 at 48, 72, 96, and 120 hours post-injection of rFVIIIFc; on Day 7 at 168 hours post-injection of rFVIIIFc; on Days 8, 9, and 10 at 192, 216, and 240 hours post-injection of high dose of rFVIIIFc (Cohort B only). FVIII activity was also measured at the final study visit (28 days post-injection of rFVIIIFc) at 672 hours post-injection of rFVIIIFc.
  • Figure 13 Observed group mean (+SE) FVIII activity versus time profiles, sorted by dose level, grouped by compound (one-stage assay, 25 IU/kg (A) and 65 IU/kg (B)) and (chromogenic assay, 25 IU/kg (C) and 65 IU/kg (D)).
  • Figure 14 Observed group mean (+SE) FVIII activity versus time profiles, grouped by dose level and compound (one-stage assay; A) (chromogenic assay; B).
  • Total systemic FVIII exposure (assessed by AUCINF) was ⁇ 48% and 61% greater following rFVIIIFc administration than Advate at 25 and 65 IU/kg dose levels, respectively.
  • Mean ( ⁇ SD) model-predicted AUCINF values were 974 ⁇ 259 and 1810 ⁇ 606 hr ⁇ IU/dL for Advate and 1440 ⁇ 316 and 2910 ⁇ 1320 hr ⁇ IU/dL for rFVIIIFc for the 25 and 65 IU/kg dose groups, respectively.
  • V values were comparable between Advate and rFVIIIFc with mean ( ⁇ SD) model-predicted V values of 43.9 ⁇ 4.27 and 56.1 ⁇ 13.4 mL/kg for Advate and 45.3 ⁇ 7.23 and 61.6 ⁇ 10.6 mL/kg for rFVIIIFc for the 25 and 65 IU/kg dose groups, respectively.
  • Slight increases in mean CL and V values were noted with increasing dose of Advate and rFVIIIFc; however, the increase in standard deviations at the 65 IU/kg dose coupled with limited dose levels confounded an assessment of the dose-dependency of these parameters.
  • the CV% geometric mean CL value for the rFVIIIFc treatment group increased from 23.0% (25 IU/kg) to 48.6% (65 IU/kg).
  • secondary PK parameters e.g. K-values, IVR, etc.
  • K-values e.g. K-values, IVR, etc.
  • IVR and K-values for Advate and rFVIIIFc appeared to be comparable.
  • a slight increase in TBLP1 and TBLP3 values were observed with increasing dose of Advate and rFVIIIFc.
  • slight decreases in mean IVR and K-values were noted with increasing dose of Advate and rFVIIIFc. As previously indicated, an assessment of the dose dependency of these parameters is confounded by limited dose levels.
  • Mean ( ⁇ SD) observed TBLP1 were 2.88 ⁇ 0.733 and 2.93 ⁇ 0.848 IU/dL per IU/kg for Advate and 4.28 ⁇ 0.873 and 5.16 ⁇ 2.02 IU/dL per IU/kg for rFVIIIFc for the 25 and 65 IU/kg dose groups, respectively.
  • Mean ( ⁇ SD) observed TBLP3 were 2.06 ⁇ 0.527 and 2.26 ⁇ 0.666 IU/dL per IU/kg for Advate and 3.09 ⁇ 0.623 and 3.93 ⁇ 1.59 IU/dL per IU/kg for rFVIIIFc for the 25 and 65 IU/kg dose groups, respectively.
  • Mean IVR and K-values calculated using observed Cmax values were generally greater than values determined using model-predicted Cmax values; consistent with slight underestimation of the observed peak activity using the one-compartment model.
  • Mean ( ⁇ SD) observed K-values were 2.57 ⁇ 0.198 and 2.13 ⁇ 0.598 IU/dL per IU/kg for Advate and 2.46 ⁇ 0.330 and 1.85 ⁇ 0.332 IU/dL per IU/kg for rFVIIIFc for the 25 and 65 IU/kg dose groups, respectively.
  • Total systemic FVIII exposure (assessed by AUCINF) was ⁇ 53% and 84% greater following rFVIIIFc administration than Advate at 25 and 65 IU/kg dose levels, respectively.
  • Mean ( ⁇ SD) model-predicted AUCINF values were 1080 ⁇ 236 and 2320 ⁇ 784 hr*IU/dL for Advate and 1650 ⁇ 408 and 4280 ⁇ 1860 hr*IU/dL for rFVIIIFc for the 25 and 65 IU/kg dose groups, respectively.
  • MRT was prolonged for rFVIIIFc relative to Advate.
  • Mean ( ⁇ SD) model-predicted MRT values were 15.3 ⁇ 2.86 and 14.8 ⁇ 4.72 hr for Advate and 23.4 ⁇ 4.22 and 27.3 ⁇ 11.4 hr for rFVIIIFc for the 25 and 65 IU/kg dose groups, respectively. MRT values appeared to be dose-independent over the dose range evaluated for both FVIII products.
  • V values were comparable between Advate and rFVIIIFc with mean ( ⁇ SD) model-predicted V values of 35.8 ⁇ 5.52 and 43.6 ⁇ 11.2 mL/kg for Advate and 35.9 ⁇ 6.65 and 42.7 ⁇ 8.91 mL/kg for rFVIIIFc for the 25 and 65 IU/kg dose groups, respectively.
  • Increases in mean CL and V values were noted with increasing dose of Advate and rFVIIIFc; however, the increase in standard deviations at 65 IU/kg coupled with limited dose levels confounded an assessment of the dose-dependency of these parameters.
  • secondary PK parameters e.g. K-values, IVR, etc.
  • K-values e.g. K-values, IVR, etc.
  • IVR and K-values for Advate and rFVIIIFc appeared to be comparable.
  • Mean ( ⁇ SD) observed TBLP1 were 2.70 ⁇ 0.511 and 3.09 ⁇ 0.978 IU/dL per IU/kg for Advate and 4.06 ⁇ 0.798 and 5.66 ⁇ 2.38 IU/dL per IU/kg for rFVIIIFc for the 25 and 65 IU/kg dose groups, respectively.
  • Mean ( ⁇ SD) observed TBLP3 were 1.98 ⁇ 0.377 and 2.39 ⁇ 0.718 IU/dL per IU/kg for Advate and 3.04 ⁇ 0.598 and 4.44 ⁇ 1.84 IU/dL per IU/kg for rFVIIIFc for the 25 and 65 IU/kg dose groups, respectively.
  • Mean IVR and K-values calculated using observed Cmax values were generally greater than values determined using model-predicted Cmax values; consistent with slight underestimation of the observed peak activity using the one-compartment model.
  • Mean ( ⁇ SD) observed K-values were 3.08 ⁇ 0.429 and 2.85 ⁇ 0.721 IU/dL per IU/kg for Advate and 3.12 ⁇ 0.451 and 2.92 ⁇ 0.985 IU/dL per IU/kg for rFVIIIFc for the 25 and 65 IU/kg dose groups, respectively.
  • rFVIIIFc and Advate activity PK revealed an approximate 48-61% (One-Stage Assay) or 53-84% (Chromogenic Assay) increase in systemic exposure, approximate 30-40% reduction in clearance, and an approximate 50-80% increase in both elimination half-life and MRT for rFVIIIFc relative to Advate at comparable doses.
  • Evidence of PK difference was also observed with rFVIIIFc demonstrating increased TBLP1 and TBLP3 values compared to Advate at equivalent doses. IVR and K-values for Advate and rFVIIIFc appeared to be comparable.
  • the PK parameters obtained from Chromogenic Assay results generally agreed with those from the One-Stage Assay, except that the Chomogenic Assay yielded a higher estimation of exposure parameters (e.g. Cmax, AUCINF, etc.).
  • rFVIIIFc may provide a prolonged protection from bleeding, allowing less frequent injections for individuals with Hemophilia A.
  • A-LONG is an open label, multi-center evaluation of the safety, pharmacokinetics, and efficacy of recombinant Factor VIII Fc fusion (FVIII:Fc) in the prevention and treatment of bleeding in previously treated subjects with severe hemophilia A (defined as ⁇ 1 IU/dL [ ⁇ 1%] endogenous FVIII).
  • Approximately 106 subjects will be enrolled into one of three regimens: a tailored prophylaxis regimen (arm 1), a weekly dosing regimen (arm 2), and an on-demand regimen (arm 3).
  • a tailored prophylaxis regimen arm 1
  • a weekly dosing regimen arm 2
  • an on-demand regimen arm 3
  • Arm 1 will include an overall group and a PK subgroup. Approximately 66 subjects will be enrolled. The initial regimen will be twice weekly at 25 IU/kg on the first day, followed by 50 IU/kg on the fourth day of the week. Subjects will administer rFVIIIFc on this weekly prophylaxis regimen until PK results for rFVIIIFc are available. Base don these results, a tailored prophylaxis regimen will be established for each individual, in which the dose and interval will be determined to maintain a trough level of 1-3% FVIII activity. Each subject will then administer his individually tailored prophylaxis regimen throughout the study.
  • Adjustments will only be made when a subject experiences unacceptable bleeding episodes defined as ⁇ 2 spontaneous bleeding episodes over a rolling two-month period. In this case, adjustment will target trough levels of 3-5%.
  • rFVIIIFc PK profiling Approximately 20 subjects will be enrolled/randomized and undergo abbreviated rFVIIIFc PK profiling as follows: Washout of at least 96 hours; a single dose of rFVIIIFc 65 IU/kg; Abbreviated sampling beginning on rFVIIIFc Day 0, including pre-injection and 10 ( ⁇ 2) minutes, 3 hours ( ⁇ 15 minutes), 72 ( ⁇ 2) hours [Day 3], and 96 ( ⁇ 2) hours [Day 4] from the start of injection. Following the abbreviated PK profiling, subjects will then administer a fixed dose of 65 IU/kg rFVIIIFc every 7 days.
  • Major surgery is defined as any surgical procedure (elective or emergent) that involves general anesthesia and/or respiratory assistance in which a major body cavity is penetrated and exposed, or for which a substantial impairment of physical or physiological functions is produced (e.g., laparotomy, thoracotomy, craniotomy, joint replacement, and limb amputation).
  • rFVIIIFc for prophylaxis during surgery, subjects will be treated with 35 to 50 IU/kg rFVIIIFc every 12 to 24 hours. Prior to surgery, the physician will review the subject's rFVIIIFc PK profile and assess the dose regimen of Factor VIII replacement generally required for the type of planned surgery and the clinical status of the subject. Recommendation for the appropriate dosing of rFVIIIFc in the surgical treatment period, including any rehabilitation time, will take these factors into consideration.
  • the primary objectives of this study are (a) to evaluate the safety and tolerability of rFVIIIFc administered as prophylaxis, on-demand, and surgical treatment regimens; and (b) to evaluate the efficacy of rFVIIIFc administered as prophylaxis, on-demand, and surgical treatment regimens.
  • the secondary objectives of this study are (a) to characterize the PK profile of rFVIIIFc and compare the PK of FVIIIFc with the currently marketed product, ADVATE; (b) to evaluate individual responses with FVIIIFc; and (c) to evaluate FVIIIFc consumption.
  • ROTEM whole blood rotational thromboelastometry
  • rFVIIIFc and Advate appear to be comparably active in clot formation when spiked into subjects' blood prior to rFVIIIFc treatment.
  • the clotting time (CT) was linear with respect to the dose of rFVIIIFc and Advate in the range of approximately 1% of 100% of normal, and the dose response was comparable between rFVIIIFc and Advate in the same subject.
  • BDD FVIIIFc chain For the BDD FVIIIFc chain, the Fc sequence is shown in bold; HC sequence is shown in double underline; remaining B domain sequence is shown in italics. Signal peptides are underlined.
  • B domain deleted FVIII-Fc chain (19 amino acid signal sequence underlined) (SEQ ID NO:2)
  • Fc chain (20 amino acid heterologous signal peptide from mouse Ig ⁇ chain underlined) (SEQ ID NO:4)
  • Fc expression cassette is cotransfected with full length FVIII-Fc to generate the full length FVIIIFc monomer.
  • Fc sequence is shown in bold; HC sequence is shown in double underline; B domain sequence is shown in italics. Signal peptides are underlined.
  • FVIII signal peptide underlined SEQ ID NO:6
  • Fc chain (20 amino acid heterologous signal peptide from mouse Ig ⁇ chain underlined) (SEQ ID NO:4)
  • FVIII-Fc Heterodimer Hybrid This is made by cotransfecting HC-Fc and LC-Fc constructs.
  • HC-Fc Two HC-Fc constructs have been made. One has no linker between HC and Fc (HC-Fc) while the other has a 5 amino acid linker between HC and Fc (HC+5-Fc).
  • the FVIII signal peptide was used for the HC-Fc constructs, while the mouse Ig ⁇ signal sequence was used for the LC-Fc construct.
  • HC-Fc Fc sequence is shown in bold, signal peptide underlined
  • SEQ ID NO:8 signal peptide underlined
  • PK Parameters after a single intravenous dose in hemophilia A mice 50 IU/kg) Treatment C max (IU/mL) AUC (hr ⁇ IU/mL) T 1/2 (hr) CL (mL/hr/kg) Vss (mL/kg) rFVIIIFc 1.56 22.6 11.1 2.09 28.4 ReFacto® 0.67 6.94 5.0 7.2 43.8 Advate® 0.47 3.90 7.1 12.8 103 Table 5.
  • PK Parameters after a single intravenous dose in hemophilia A dogs 125 IU/kg rFVIIIFc, 114 and 120 IU/kg ReFacto®) A.
  • rFVIIIFc concentration in plasma ( ⁇ g/mL) Group 1 Group 2 Mean SD Time, hr 604376 606595 C36195 C36066 C36174 604362 Pre BLQ BLQ BLQ BLQ BLQ 0.25 0.400 0.334 0.374 0.348 0.383 0.323 0.360 0.030 4 0.266 0.259 0.236 0.233 0.259 0.217 0.245 0.019 12 0.165 0.152 0.12 0.15 0.161 0.149 0.150 0.016 24 0.079 0.074 0.047 0.08 0.088 0.076 0.074 0.014 36 0.035 0.04 0.022 0.04 0.041 0.046 0.037 0.008 48 0.019 0.021 BLQ 0.021 0.024 0.025 0.022 0.002 B.
  • PK Parameters of rFVIIIFc after a single 125 IU/kg dose PK Parameter rFVIIIFc ELISA Data units Group 1 Group 2 604376 606595 C36195 C36066 C36174 604362 Average SD Tmax hr 0.25 0.25 0.25 0.25 0.25 0.25 0.25 0.25 0.00 Cmax ⁇ g/mL 0.4 0.334 0.374 0.348 0.383 0.323 0.368 0.030 T 1/2 hr 11.4 13.3 9.3 12.7 12.7 14.1 11.9 1.7 AUC ⁇ g*hr/mL 5.86 5.65 4.37 5.56 4.37 5.58 5.16 0.68 CL mL/hr/kg 2.15 2.23 2.88 2.27 2.07 2.26 2.32 0.29 Vz mL/kg 35.3 42.5 38.8 37.9 37.9 46.1 38.5 3.9 MRT hr 15.3 17 12.1 17.1 17.3 19.2 15.8 2.4 PK Parameter rFVIIIFc Chromogenic Activity Data units
  • PK Parameters of Xyntha after a single IV dose 125 IU/kg
  • PK Parameter Xyntha ELISA Data units Group 1 Group 2 604376 606595 C36195 C36066 C36174 604362 Average SD Tmax hr 0.25 4 0.25 0.25 0.25 0.25 0.88 1.53 Cmax IU/mL 0.252 0.159 0.155 0.317 0.217 0.167 0.21 0.06 T 1/2 hr 13.6 19.9 9.7 11 9.2 nd 12.7 4.4 AUC IU*hr/mL 5.15 4.39 3,17 5.53 4.79 6.32 5.24 0.74 CL mL/hr/kg 2.21 2.6 3.59 2.06 2.38 nd 2.57 0.61 Vz mL/kg 43.4 74.7 50.1 32.9 31.5 nd 46.5 17.5 MRT hr 19 28.4 14 16.1 15.9 nd 18.7 5.7 PK Parameter Xyntha Chromogenic Activity Data units Group 1 Group 2 604376 606595 C36195

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